Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $26.39 / $58.69	Professional		$26.38	$26.39	$58.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $46.21 / $247.53 / $247.53	Facility		$46.21	$247.53	$247.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $38.85 / $55.41	Professional		$4.36	$38.85	$55.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $24.44 / $24.44	Facility		$24.44	$24.44	$24.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $24.44 / $46.18	Professional		$20.77	$24.44	$46.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $52.77 / $52.77 / $52.77	Facility		$52.77	$52.77	$52.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.77 / $52.77 / $52.77	Professional		$52.77	$52.77	$52.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $36.49 / $48.63	Professional		$4.86	$36.49	$48.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.49 / $52.77 / $55.27	Facility		$47.49	$52.77	$55.27
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $52.77 / $55.27	Professional		$47.49	$52.77	$55.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $4.59 / $46.21	Facility		$4.59	$4.59	$46.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $51.53 / $59.26	Professional		$4.36	$51.53	$59.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $51.53 / $51.53 / $51.53	Facility		$51.53	$51.53	$51.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $3.54 / $4.30	Professional		$3.54	$3.54	$4.30
United Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $26.33 / $50.23	Professional		$24.00	$26.33	$50.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $37.61 / $37.61	Professional		$37.61	$37.61	$37.61