Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $38.79 / $90.50	Professional		$38.00	$38.79	$90.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $349.46 / $349.46	Facility		$68.48	$349.46	$349.46
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $59.10 / $93.17	Professional		$42.40	$59.10	$93.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.69 / $48.69 / $48.69	Facility		$48.69	$48.69	$48.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $48.69 / $63.90	Professional		$41.39	$48.69	$63.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $70.54 / $70.54 / $70.54	Facility		$70.54	$70.54	$70.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $70.54 / $70.54	Professional		$70.54	$70.54	$70.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.76 / $74.70 / $82.17	Professional		$59.76	$74.70	$82.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.54 / $77.59 / $93.59	Facility		$70.54	$77.59	$93.59
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $77.41 / $87.93	Professional		$70.54	$77.41	$87.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $6.71 / $95.89	Facility		$6.71	$6.71	$95.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $58.22 / $80.91	Professional		$5.82	$58.22	$80.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Facility		$68.48	$68.48	$68.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $6.60 / $8.03	Professional		$6.60	$6.60	$8.03
United Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $44.33 / $70.64	Professional		$36.77	$44.33	$70.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $40.53 / $40.53	Professional		$40.53	$40.53	$40.53