Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $20.17 / $45.67	Professional		$19.44	$20.17	$45.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $100.00 / $194.27	Facility		$36.40	$100.00	$194.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $33.09 / $45.50	Professional		$3.74	$33.09	$45.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $27.09 / $35.54	Facility		$27.09	$27.09	$35.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $27.09 / $35.54	Professional		$23.03	$27.09	$35.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $37.50 / $37.50 / $37.50	Facility		$37.50	$37.50	$37.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $37.50	Professional		$37.50	$37.50	$37.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.49 / $34.99 / $38.48	Professional		$31.49	$34.99	$38.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.50 / $40.34 / $44.88	Facility		$37.50	$40.34	$44.88
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $44.88	Professional		$37.50	$37.50	$44.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $34.29 / $34.29	Facility		$3.42	$34.29	$34.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $30.95 / $41.87	Professional		$3.09	$30.95	$41.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $36.40 / $36.40	Facility		$36.40	$36.40	$36.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $3.07 / $3.74	Professional		$3.07	$3.07	$3.74
United Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $19.34 / $37.19	Professional		$17.89	$19.34	$37.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $28.04 / $33.09	Professional		$28.04	$28.04	$33.09