Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $17.59 / $40.03	Professional		$11.23	$17.59	$40.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $162.68 / $162.68	Facility		$30.23	$162.68	$162.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $27.46 / $40.83	Professional		$19.71	$27.46	$40.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $22.73 / $29.83	Facility		$22.73	$22.73	$29.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $22.73 / $29.83	Professional		$19.32	$22.73	$29.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $33.18 / $33.18 / $33.18	Facility		$33.18	$33.18	$33.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $33.18 / $33.18	Professional		$33.18	$33.18	$33.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $30.56 / $33.61	Professional		$27.50	$30.56	$33.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.09 / $33.10 / $35.18	Facility		$33.09	$33.10	$35.18
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $29.86 / $33.18 / $33.89	Professional		$29.86	$33.18	$33.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.87 / $30.23 / $30.23	Facility		$2.87	$30.23	$30.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $31.29 / $37.04	Professional		$2.72	$31.29	$37.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.21 / $32.21 / $32.21	Facility		$32.21	$32.21	$32.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.21 / $2.69	Professional		$2.21	$2.21	$2.69
United Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $16.09 / $30.94	Professional		$15.62	$16.09	$30.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $24.48 / $24.48	Professional		$24.48	$24.48	$24.48