Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $23.09 / $51.36	Professional		$21.53	$23.09	$51.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $40.44 / $100.00 / $204.80	Facility		$40.44	$100.00	$204.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $34.00 / $45.10	Professional		$3.58	$34.00	$45.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $28.37 / $28.37	Facility		$28.37	$28.37	$28.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $28.37 / $34.27	Professional		$24.11	$28.37	$34.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $46.18 / $46.18 / $46.18	Facility		$46.18	$46.18	$46.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $46.18 / $46.18	Professional		$46.18	$46.18	$46.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $35.40 / $38.95	Professional		$31.86	$35.40	$38.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.34 / $42.07 / $46.18	Facility		$38.34	$42.07	$46.18
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $43.08 / $47.39	Professional		$39.25	$43.08	$47.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.77 / $40.44 / $40.44	Facility		$3.77	$40.44	$40.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $38.34 / $51.86	Professional		$3.58	$38.34	$51.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $45.10 / $45.10 / $45.10	Facility		$45.10	$45.10	$45.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $2.91 / $3.54	Professional		$2.91	$2.91	$3.54
United Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $19.57 / $37.36	Professional		$18.11	$19.57	$37.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.01 / $24.01 / $24.01	Professional		$24.01	$24.01	$24.01