Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.11 / $44.41 / $100.81	Professional		$28.11	$44.41	$100.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $405.24 / $405.24	Facility		$74.36	$405.24	$405.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $67.55 / $101.13	Professional		$8.10	$67.55	$101.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $35.54 / $74.12	Facility		$35.54	$35.54	$74.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $35.54 / $74.12	Professional		$30.22	$35.54	$74.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $81.06 / $81.06 / $81.06	Facility		$81.06	$81.06	$81.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $81.06 / $81.06	Professional		$81.06	$81.06	$81.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.80 / $76.45 / $84.09	Professional		$68.80	$76.45	$84.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.06 / $88.81 / $97.39	Facility		$81.06	$88.81	$97.39
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $79.22 / $86.68 / $96.31	Professional		$79.22	$86.68	$96.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $7.41 / $74.36	Facility		$7.41	$7.41	$74.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $66.90 / $149.91	Professional		$6.69	$66.90	$149.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $6.65 / $8.10	Professional		$6.65	$6.65	$8.10
United Facility/Professional Professional Modifier Low / Median / High Price $39.10 / $39.40 / $68.94	Professional		$39.10	$39.40	$68.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.32 / $57.32 / $57.32	Professional		$57.32	$57.32	$57.32