Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $73.08 / $162.53	Professional		$73.06	$73.08	$162.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $292.36 / $640.17	Facility		$100.00	$292.36	$640.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $87.70 / $153.47	Professional		$13.48	$87.70	$153.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $62.10	Facility		$62.10	$62.10	$62.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $62.10 / $108.47	Professional		$52.79	$62.10	$108.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $146.16 / $146.16 / $146.16	Facility		$146.16	$146.16	$146.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.16 / $146.16 / $146.16	Professional		$146.16	$146.16	$146.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.64 / $112.05 / $123.25	Professional		$89.64	$112.05	$123.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $131.54 / $142.72 / $160.78	Facility		$131.54	$142.72	$160.78
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $142.72 / $146.16 / $160.78	Professional		$142.72	$146.16	$160.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $127.98 / $127.98	Facility		$14.22	$127.98	$127.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $121.32 / $257.35	Professional		$13.48	$121.32	$257.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $142.72 / $142.72 / $142.72	Facility		$142.72	$142.72	$142.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.97 / $10.97 / $13.36	Professional		$10.97	$10.97	$13.36
United Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $61.98 / $118.24	Professional		$57.31	$61.98	$118.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.35 / $89.35 / $89.35	Professional		$89.35	$89.35	$89.35