Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.03 / $56.08 / $128.21	Professional		$52.03	$56.08	$128.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $91.32 / $523.65 / $523.65	Facility		$91.32	$523.65	$523.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $89.13 / $122.27	Professional		$11.82	$89.13	$122.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.04 / $73.04 / $95.86	Facility		$73.04	$73.04	$95.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $73.04 / $95.86	Professional		$62.08	$73.04	$95.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $101.60 / $101.60 / $101.60	Facility		$101.60	$101.60	$101.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $101.60 / $101.60	Professional		$101.60	$101.60	$101.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.34 / $89.27 / $98.19	Professional		$80.34	$89.27	$98.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $101.60 / $112.16 / $133.80	Facility		$101.60	$112.16	$133.80
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $91.44 / $101.60 / $129.87	Professional		$91.44	$101.60	$129.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.73 / $91.32 / $91.32	Facility		$9.73	$91.32	$91.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $83.84 / $113.44	Professional		$8.38	$83.84	$113.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $98.64 / $98.64 / $98.64	Facility		$98.64	$98.64	$98.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $9.71 / $11.82	Professional		$9.71	$9.71	$11.82
United Facility/Professional Facility Modifier Low / Median / High Price $5.16 / $39.61 / $65.18	Facility		$5.16	$39.61	$65.18
United Facility/Professional Professional Modifier Low / Median / High Price $51.77 / $53.72 / $99.53	Professional		$51.77	$53.72	$99.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.17 / $84.17 / $84.17	Professional		$84.17	$84.17	$84.17