Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $15.66 / $35.52	Professional		$15.35	$15.66	$35.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $27.07 / $100.00 / $148.63	Facility		$27.07	$100.00	$148.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $25.32 / $34.88	Professional		$2.97	$25.32	$34.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $20.72 / $27.20	Facility		$20.72	$20.72	$27.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $20.72 / $27.20	Professional		$17.61	$20.72	$27.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $29.72 / $29.72 / $29.72	Facility		$29.72	$29.72	$29.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $29.72 / $29.72	Professional		$29.72	$29.72	$29.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $27.37 / $30.10	Professional		$24.63	$27.37	$30.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.72 / $31.31 / $34.83	Facility		$29.72	$31.31	$34.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $31.31 / $34.83	Professional		$29.72	$31.31	$34.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $27.07 / $27.07	Facility		$2.72	$27.07	$27.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.46 / $24.52 / $27.98	Professional		$2.46	$24.52	$27.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.85 / $28.85 / $28.85	Facility		$28.85	$28.85	$28.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $2.44 / $2.97	Professional		$2.44	$2.44	$2.97
United Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $15.28 / $29.36	Professional		$13.99	$15.28	$29.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.93 / $21.93 / $21.93	Professional		$21.93	$21.93	$21.93