Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.87 / $25.02 / $55.54	Professional		$23.87	$25.02	$55.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $43.92 / $228.57 / $228.57	Facility		$43.92	$228.57	$228.57
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $39.63 / $58.34	Professional		$33.47	$39.63	$58.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.91 / $31.91 / $31.91	Facility		$31.91	$31.91	$31.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $31.91 / $44.28	Professional		$27.12	$31.91	$44.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $48.02 / $48.02 / $48.02	Facility		$48.02	$48.02	$48.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $48.02 / $48.02	Professional		$48.02	$48.02	$48.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.69 / $55.56 / $61.11	Professional		$48.69	$55.56	$61.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.73 / $48.02 / $57.08	Facility		$47.73	$48.02	$57.08
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $48.02 / $55.56	Professional		$47.73	$48.02	$55.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $43.92 / $43.92	Facility		$4.55	$43.92	$43.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $39.63 / $53.61	Professional		$3.96	$39.63	$53.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46.62 / $46.62 / $46.62	Facility		$46.62	$46.62	$46.62
United Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $24.57 / $43.81	Professional		$22.79	$24.57	$43.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $29.12 / $39.07	Professional		$29.12	$29.12	$39.07