Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.88 / $45.66 / $104.55	Professional		$30.88	$45.66	$104.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.14 / $402.15 / $402.15	Facility		$80.14	$402.15	$402.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $68.97 / $108.00	Professional		$9.56	$68.97	$108.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.10 / $44.10 / $44.10	Facility		$44.10	$44.10	$44.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.49 / $44.10 / $73.59	Professional		$37.49	$44.10	$73.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $86.67 / $86.67 / $86.67	Facility		$86.67	$86.67	$86.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.67 / $86.67 / $86.67	Professional		$86.67	$86.67	$86.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.58 / $83.98 / $92.37	Professional		$75.58	$83.98	$92.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $86.67 / $90.02 / $106.98	Facility		$86.67	$90.02	$106.98
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $86.67 / $90.02 / $102.86	Professional		$86.67	$90.02	$102.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.16 / $8.16 / $80.14	Facility		$8.16	$8.16	$80.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $78.41 / $91.71	Professional		$7.15	$78.41	$91.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $7.85 / $9.56	Professional		$7.85	$7.85	$9.56
United Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $44.21 / $81.68	Professional		$42.50	$44.21	$81.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $109.12 / $109.12	Professional		$109.12	$109.12	$109.12