Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $44.27 / $97.94	Professional		$41.28	$44.27	$97.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $72.79 / $407.44 / $407.44	Facility		$72.79	$407.44	$407.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $50.96 / $69.44 / $96.35	Professional		$50.96	$69.44	$96.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.33 / $44.33 / $44.33	Facility		$44.33	$44.33	$44.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $37.68 / $102.00	Professional		$37.68	$37.68	$102.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $81.34 / $81.34 / $81.34	Facility		$81.34	$81.34	$81.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.34 / $81.34 / $81.34	Professional		$81.34	$81.34	$81.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.31 / $70.34 / $77.38	Professional		$63.31	$70.34	$77.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.34 / $88.14 / $91.77	Facility		$81.34	$88.14	$91.77
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $81.34 / $88.53 / $90.25	Professional		$81.34	$88.53	$90.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $72.79 / $72.79	Facility		$7.28	$72.79	$72.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $67.12 / $90.82	Professional		$6.72	$67.12	$90.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $78.97 / $78.97 / $78.97	Facility		$78.97	$78.97	$78.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $6.21 / $7.56	Professional		$6.21	$6.21	$7.56
United Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $41.08 / $78.98	Professional		$35.97	$41.08	$78.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54