Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $25.76 / $57.43	Professional		$25.31	$25.76	$57.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $45.22 / $238.49 / $238.49	Facility		$45.22	$238.49	$238.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $41.00 / $56.39	Professional		$4.75	$41.00	$56.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $33.33 / $43.75	Facility		$33.33	$33.33	$43.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $33.33 / $43.75	Professional		$28.33	$33.33	$43.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $50.61 / $50.61 / $50.61	Facility		$50.61	$50.61	$50.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.61 / $50.61 / $50.61	Professional		$50.61	$50.61	$50.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.17 / $43.53 / $52.34	Professional		$39.17	$43.53	$52.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.33 / $52.29 / $56.31	Facility		$48.33	$52.29	$56.31
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $50.61 / $55.67	Professional		$45.55	$50.61	$55.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $45.22 / $56.50	Facility		$4.54	$45.22	$56.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $46.83 / $91.19	Professional		$4.17	$46.83	$91.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49.13 / $49.13 / $49.13	Facility		$49.13	$49.13	$49.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $3.90 / $4.75	Professional		$3.90	$3.90	$4.75
United Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $25.83 / $45.94	Professional		$24.08	$25.83	$45.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.32 / $41.32 / $41.32	Professional		$41.32	$41.32	$41.32