Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.18 / $49.94 / $111.73	Professional		$44.18	$49.94	$111.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $87.01 / $436.04 / $436.04	Facility		$87.01	$436.04	$436.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $73.80 / $116.44	Professional		$11.09	$73.80	$116.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $60.80 / $81.41	Facility		$60.80	$60.80	$81.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $60.80 / $92.88	Professional		$51.68	$60.80	$92.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $89.62 / $89.62 / $89.62	Facility		$89.62	$89.62	$89.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.62 / $89.62 / $89.62	Professional		$89.62	$89.62	$89.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $103.55 / $113.90	Professional		$75.00	$103.55	$113.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $89.62 / $90.91 / $129.72	Facility		$89.62	$90.91	$129.72
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $89.62 / $90.91 / $128.08	Professional		$89.62	$90.91	$128.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.76 / $8.76 / $152.27	Facility		$8.76	$8.76	$152.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $73.95 / $176.68	Professional		$7.40	$73.95	$176.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $87.01 / $87.01 / $87.01	Facility		$87.01	$87.01	$87.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $9.11 / $11.09	Professional		$9.11	$9.11	$11.09
United Facility/Professional Professional Modifier Low / Median / High Price $47.77 / $61.45 / $91.76	Professional		$47.77	$61.45	$91.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $91.84 / $91.84	Professional		$91.84	$91.84	$91.84