Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.84 / $47.64 / $107.15	Professional		$38.84	$47.64	$107.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $86.34 / $433.65 / $433.65	Facility		$86.34	$433.65	$433.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $73.65 / $114.90	Professional		$9.77	$73.65	$114.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.46 / $60.46 / $80.95	Facility		$60.46	$60.46	$80.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.39 / $60.46 / $111.00	Professional		$51.39	$60.46	$111.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $88.93 / $88.93 / $88.93	Facility		$88.93	$88.93	$88.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $88.93 / $88.93	Professional		$88.93	$88.93	$88.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $82.06 / $109.43	Professional		$10.95	$82.06	$109.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $88.93 / $90.10 / $115.92	Facility		$88.93	$90.10	$115.92
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $90.10 / $109.43	Professional		$80.04	$90.10	$109.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.36 / $8.36 / $99.29	Facility		$8.36	$8.36	$99.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $73.39 / $83.75	Professional		$7.34	$73.39	$83.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $86.34 / $86.34 / $86.34	Facility		$86.34	$86.34	$86.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $8.02 / $9.77	Professional		$8.02	$8.02	$9.77
United Facility/Professional Professional Modifier Low / Median / High Price $46.76 / $56.83 / $89.85	Professional		$46.76	$56.83	$89.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.62 / $84.62 / $84.62	Professional		$84.62	$84.62	$84.62