Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $26.93 / $62.92	Professional		$17.41	$26.93	$62.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $47.26 / $252.49 / $252.49	Facility		$47.26	$252.49	$252.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $42.06 / $62.87	Professional		$31.50	$42.06	$62.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $26.10 / $26.10	Facility		$26.10	$26.10	$26.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $26.10 / $46.21	Professional		$22.19	$26.10	$46.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $52.07 / $52.07 / $52.07	Facility		$52.07	$52.07	$52.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $52.07	Professional		$52.07	$52.07	$52.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $47.35 / $52.08	Professional		$42.61	$47.35	$52.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.07 / $55.58 / $60.30	Facility		$52.07	$55.58	$60.30
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $53.89 / $59.88	Professional		$52.07	$53.89	$59.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.74 / $4.74 / $47.26	Facility		$4.74	$4.74	$47.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $44.21 / $58.13	Professional		$4.30	$44.21	$58.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $4.20 / $5.11	Professional		$4.20	$4.20	$5.11
United Facility/Professional Facility Modifier Low / Median / High Price $2.23 / $18.97 / $32.70	Facility		$2.23	$18.97	$32.70
United Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $25.23 / $48.52	Professional		$24.22	$25.23	$48.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Professional		$61.54	$61.54	$61.54