Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.90 / $72.43 / $157.56	Professional		$66.90	$72.43	$157.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $652.16 / $652.16	Facility		$100.00	$652.16	$652.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $106.35 / $153.21	Professional		$11.13	$106.35	$153.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $57.76 / $57.76	Facility		$57.76	$57.76	$57.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $57.76 / $119.96	Professional		$49.10	$57.76	$119.96
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 $13.41 / $109.48 / $145.91	Professional		$13.41	$109.48	$145.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $130.30 / $133.43 / $145.91	Facility		$130.30	$133.43	$145.91
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $130.30 / $133.43 / $145.91	Professional		$130.30	$133.43	$145.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.80 / $11.80 / $127.15	Facility		$11.80	$11.80	$127.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $142.49 / $145.52	Professional		$11.13	$142.49	$145.52
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 / $128.01	Professional		$61.54	$66.56	$128.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.98 / $91.98 / $91.98	Professional		$91.98	$91.98	$91.98