Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.02 / $24.19 / $55.36	Professional		$16.02	$24.19	$55.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $42.69 / $100.00 / $215.23	Facility		$42.69	$100.00	$215.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.65 / $36.15 / $55.38	Professional		$4.65	$36.15	$55.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $29.99 / $39.36	Facility		$29.99	$29.99	$39.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $29.99 / $39.36	Professional		$25.49	$29.99	$39.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $43.97 / $43.97 / $43.97	Facility		$43.97	$43.97	$43.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.97 / $43.97 / $43.97	Professional		$43.97	$43.97	$43.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.21 / $43.57 / $47.92	Professional		$39.21	$43.57	$47.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.97 / $48.38 / $54.59	Facility		$43.97	$48.38	$54.59
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $43.97 / $48.38 / $52.75	Professional		$43.97	$48.38	$52.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $40.93 / $40.93	Facility		$4.09	$40.93	$40.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $40.68 / $49.09	Professional		$3.63	$40.68	$49.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42.69 / $42.69 / $42.69	Facility		$42.69	$42.69	$42.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $3.82 / $4.65	Professional		$3.82	$3.82	$4.65
United Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $15.54 / $27.15	Facility		$0.30	$15.54	$27.15
United Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $22.60 / $43.44	Professional		$22.28	$22.60	$43.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $33.31 / $36.15	Professional		$33.31	$33.31	$36.15