Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $26.95 / $60.91	Professional		$26.22	$26.95	$60.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $46.25 / $255.06 / $255.06	Facility		$46.25	$255.06	$255.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $43.47 / $60.56	Professional		$5.00	$43.47	$60.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.56 / $35.56 / $46.67	Facility		$35.56	$35.56	$46.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $35.56 / $46.67	Professional		$30.23	$35.56	$46.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $50.91 / $50.91 / $50.91	Facility		$50.91	$50.91	$50.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.91 / $50.91 / $50.91	Professional		$50.91	$50.91	$50.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $46.43 / $51.07	Professional		$41.78	$46.43	$51.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.91 / $53.89 / $59.45	Facility		$50.91	$53.89	$59.45
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $48.36 / $50.91 / $59.45	Professional		$48.36	$50.91	$59.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $46.25 / $46.25	Facility		$4.63	$46.25	$46.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $43.35 / $56.84	Professional		$4.20	$43.35	$56.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49.43 / $49.43 / $49.43	Facility		$49.43	$49.43	$49.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.11 / $4.11 / $5.00	Professional		$4.11	$4.11	$5.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $26.09 / $47.79	Professional		$23.75	$26.09	$47.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $37.21 / $43.47	Professional		$37.21	$37.21	$43.47