Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $41.34 / $91.20	Professional		$27.25	$41.34	$91.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $387.88 / $387.88	Facility		$100.00	$387.88	$387.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.84 / $61.31 / $87.14	Professional		$6.84	$61.31	$87.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.06 / $54.06 / $70.95	Facility		$54.06	$54.06	$70.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $54.06 / $70.95	Professional		$45.95	$54.06	$70.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $82.68 / $82.68 / $82.68	Facility		$82.68	$82.68	$82.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.68 / $82.68 / $82.68	Professional		$82.68	$82.68	$82.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $63.85 / $75.00	Professional		$51.08	$63.85	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $74.69 / $82.68 / $86.70	Facility		$74.69	$82.68	$86.70
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $74.41 / $82.68 / $82.99	Professional		$74.41	$82.68	$82.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.81 / $71.81 / $112.38	Facility		$71.81	$71.81	$112.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $74.36 / $144.80	Professional		$6.83	$74.36	$144.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $80.27 / $80.27 / $80.27	Facility		$80.27	$80.27	$80.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $6.84	Professional		$5.62	$5.62	$6.84
United Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $40.70 / $78.27	Professional		$37.89	$40.70	$78.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $59.36 / $59.36	Professional		$59.36	$59.36	$59.36