Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.97 / $28.27 / $62.75	Professional		$26.97	$28.27	$62.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $49.63 / $258.29 / $258.29	Facility		$49.63	$258.29	$258.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $44.15 / $45.00 / $65.92	Professional		$44.15	$45.00	$65.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.06 / $36.06 / $36.06	Facility		$36.06	$36.06	$36.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $36.06 / $47.33	Professional		$30.65	$36.06	$47.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $54.26 / $54.26 / $54.26	Facility		$54.26	$54.26	$54.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.26 / $54.26 / $54.26	Professional		$54.26	$54.26	$54.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.02 / $62.78 / $69.05	Professional		$55.02	$62.78	$69.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.93 / $54.26 / $64.53	Facility		$53.93	$54.26	$64.53
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $51.55 / $54.26 / $62.78	Professional		$51.55	$54.26	$62.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $49.63 / $49.63	Facility		$5.15	$49.63	$49.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $44.78 / $60.58	Professional		$4.48	$44.78	$60.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.68 / $52.68 / $52.68	Facility		$52.68	$52.68	$52.68
United Facility/Professional Facility Modifier Low / Median / High Price $2.66 / $20.48 / $37.02	Facility		$2.66	$20.48	$37.02
United Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $27.76 / $49.51	Professional		$25.75	$27.76	$49.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.15 / $44.15 / $44.15	Professional		$44.15	$44.15	$44.15