Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.20 / $36.65 / $85.39	Professional		$36.20	$36.65	$85.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $63.53 / $344.64 / $344.64	Facility		$63.53	$344.64	$344.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $58.44 / $89.01	Professional		$30.00	$58.44	$89.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.02 / $48.02 / $48.02	Facility		$48.02	$48.02	$48.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.82 / $48.02 / $63.02	Professional		$40.82	$48.02	$63.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $67.58 / $67.58 / $67.58	Facility		$67.58	$67.58	$67.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.58 / $67.58 / $67.58	Professional		$67.58	$67.58	$67.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $69.14 / $76.05	Professional		$55.31	$69.14	$76.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.58 / $73.31 / $88.95	Facility		$67.58	$73.31	$88.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $67.58 / $73.31 / $84.77	Professional		$67.58	$73.31	$84.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $63.53 / $91.85	Facility		$6.35	$63.53	$91.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $55.77 / $72.69	Professional		$5.58	$55.77	$72.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $65.61 / $65.61 / $65.61	Facility		$65.61	$65.61	$65.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $7.40	Professional		$6.08	$6.08	$7.40
United Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $41.74 / $69.23	Professional		$36.02	$41.74	$69.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $62.37 / $62.37	Professional		$62.37	$62.37	$62.37