Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $20.23 / $46.61	Professional		$19.30	$20.23	$46.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $35.52 / $185.84 / $185.84	Facility		$35.52	$185.84	$185.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $31.34 / $48.74	Professional		$3.86	$31.34	$48.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.90 / $25.90 / $34.00	Facility		$25.90	$25.90	$34.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $25.90 / $34.00	Professional		$22.02	$25.90	$34.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $37.82 / $37.82 / $37.82	Facility		$37.82	$37.82	$37.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $37.82 / $37.82	Professional		$37.82	$37.82	$37.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.70 / $38.56 / $42.41	Professional		$34.70	$38.56	$42.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.82 / $39.64 / $46.42	Facility		$37.82	$39.64	$46.42
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $39.64 / $46.42	Professional		$37.82	$39.64	$46.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.48 / $35.52 / $35.52	Facility		$3.48	$35.52	$35.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $35.61 / $71.61	Professional		$3.12	$35.61	$71.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $36.72	Facility		$36.72	$36.72	$36.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.17 / $3.17 / $3.86	Professional		$3.17	$3.17	$3.86
United Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $19.72 / $36.39	Professional		$18.93	$19.72	$36.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.27 / $26.27 / $31.34	Professional		$26.27	$26.27	$31.34