Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $16.57 / $36.65	Professional		$11.97	$16.57	$36.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $155.56 / $155.56	Facility		$75.00	$155.56	$155.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $26.78 / $36.29	Professional		$3.02	$26.78	$36.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $21.85 / $28.68	Facility		$21.85	$21.85	$28.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $21.85 / $28.68	Professional		$18.57	$21.85	$28.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $32.52 / $32.52 / $32.52	Facility		$32.52	$32.52	$32.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.52 / $32.52 / $32.52	Professional		$32.52	$32.52	$32.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.44 / $28.06 / $33.75	Professional		$22.44	$28.06	$33.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.10 / $33.65 / $36.25	Facility		$31.10	$33.65	$36.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $32.52 / $35.25	Professional		$29.27	$32.52	$35.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.91 / $29.08 / $29.08	Facility		$2.91	$29.08	$29.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $30.40 / $58.65	Professional		$2.69	$30.40	$58.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $2.48 / $3.02	Professional		$2.48	$2.48	$3.02
United Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $16.66 / $29.62	Professional		$15.52	$16.66	$29.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.16 / $21.16 / $21.16	Professional		$21.16	$21.16	$21.16