Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.90 / $73.16 / $161.99	Professional		$66.90	$73.16	$161.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $671.07 / $671.07	Facility		$100.00	$671.07	$671.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $110.43 / $156.97	Professional		$11.13	$110.43	$156.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.42 / $96.42 / $96.42	Facility		$96.42	$96.42	$96.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.96 / $96.42 / $123.52	Professional		$81.96	$96.42	$123.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $145.91 / $145.91 / $145.91	Facility		$145.91	$145.91	$145.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.91 / $145.91 / $145.91	Professional		$145.91	$145.91	$145.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.66 / $111.85 / $123.03	Professional		$100.66	$111.85	$123.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $130.30 / $133.43 / $146.77	Facility		$130.30	$133.43	$146.77
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $130.30 / $133.43 / $146.77	Professional		$130.30	$133.43	$146.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.80 / $11.80 / $128.41	Facility		$11.80	$11.80	$128.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $142.49 / $163.86	Professional		$11.13	$142.49	$163.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $142.49 / $142.49 / $142.49	Facility		$142.49	$142.49	$142.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $11.02	Professional		$9.05	$9.05	$11.02
United Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $66.56 / $116.50	Professional		$61.54	$66.56	$116.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.99 / $91.99 / $91.99	Professional		$91.99	$91.99	$91.99