Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.84 / $46.29 / $106.64	Professional		$35.84	$46.29	$106.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $79.19 / $413.01 / $413.01	Facility		$79.19	$413.01	$413.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $69.98 / $107.37	Professional		$9.02	$69.98	$107.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $75.52	Facility		$57.54	$57.54	$75.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.91 / $57.54 / $75.52	Professional		$48.91	$57.54	$75.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $85.20 / $85.20 / $85.20	Facility		$85.20	$85.20	$85.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.20 / $85.20 / $85.20	Professional		$85.20	$85.20	$85.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.19 / $83.99 / $92.38	Professional		$67.19	$83.99	$92.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $85.20 / $92.58 / $107.35	Facility		$85.20	$92.58	$107.35
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $85.20 / $92.58 / $102.26	Professional		$85.20	$92.58	$102.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.92 / $79.19 / $79.19	Facility		$7.92	$79.19	$79.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $70.31 / $159.66	Professional		$7.03	$70.31	$159.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $82.72 / $82.72 / $82.72	Facility		$82.72	$82.72	$82.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $9.02	Professional		$7.41	$7.41	$9.02
United Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $53.99 / $81.67	Professional		$42.50	$53.99	$81.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.90 / $84.90 / $84.90	Professional		$84.90	$84.90	$84.90