Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $28.42 / $63.36	Professional		$28.02	$28.42	$63.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $54.40 / $259.69 / $259.69	Facility		$54.40	$259.69	$259.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $44.94 / $61.99	Professional		$5.09	$44.94	$61.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.44 / $36.44 / $36.44	Facility		$36.44	$36.44	$36.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $36.44 / $47.83	Professional		$30.97	$36.44	$47.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $56.03 / $56.03 / $56.03	Facility		$56.03	$56.03	$56.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.03 / $56.03 / $56.03	Professional		$56.03	$56.03	$56.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $47.56 / $57.21	Professional		$38.04	$47.56	$57.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.69 / $56.03 / $61.89	Facility		$52.69	$56.03	$61.89
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $53.23 / $56.03 / $56.03	Professional		$53.23	$56.03	$56.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.99 / $4.99 / $62.56	Facility		$4.99	$4.99	$62.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $46.24 / $54.40	Professional		$4.62	$46.24	$54.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.40 / $54.40 / $54.40	Facility		$54.40	$54.40	$54.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $5.09	Professional		$4.19	$4.19	$5.09
United Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $28.24 / $50.20	Professional		$26.32	$28.24	$50.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.59 / $47.59 / $47.59	Professional		$47.59	$47.59	$47.59