Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.49 / $52.54 / $121.12	Professional		$37.49	$52.54	$121.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $92.20 / $476.05 / $476.05	Facility		$92.20	$476.05	$476.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $76.52 / $124.81	Professional		$56.23	$76.52	$124.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.39 / $66.39 / $87.14	Facility		$66.39	$66.39	$87.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.43 / $56.43 / $115.88	Professional		$56.43	$56.43	$115.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $97.38 / $97.38 / $97.38	Facility		$97.38	$97.38	$97.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.38 / $97.38 / $97.38	Professional		$97.38	$97.38	$97.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.72 / $101.92 / $112.11	Professional		$91.72	$101.92	$112.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.38 / $102.27 / $129.85	Facility		$97.38	$102.27	$129.85
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $92.51 / $97.38 / $119.79	Professional		$92.51	$97.38	$119.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.14 / $9.14 / $92.20	Facility		$9.14	$9.14	$92.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.03 / $80.36 / $108.72	Professional		$8.03	$80.36	$108.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $8.72 / $10.62	Professional		$8.72	$8.72	$10.62
United Facility/Professional Professional Modifier Low / Median / High Price $44.54 / $52.13 / $85.60	Professional		$44.54	$52.13	$85.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.53 / $74.53 / $74.53	Professional		$74.53	$74.53	$74.53