Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $27.10 / $60.12	Professional		$26.63	$27.10	$60.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $47.56 / $251.92 / $251.92	Facility		$47.56	$251.92	$251.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.93 / $43.01 / $59.47	Professional		$4.93	$43.01	$59.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $35.11 / $35.11	Facility		$35.11	$35.11	$35.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $35.11 / $46.08	Professional		$29.84	$35.11	$46.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $53.26 / $53.26 / $53.26	Facility		$53.26	$53.26	$53.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.26 / $53.26 / $53.26	Professional		$53.26	$53.26	$53.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.56 / $45.70 / $54.96	Professional		$36.56	$45.70	$54.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.80 / $54.48 / $58.63	Facility		$50.80	$54.48	$58.63
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $53.26 / $53.26 / $58.59	Professional		$53.26	$53.26	$58.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $4.76 / $59.47	Facility		$4.76	$4.76	$59.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $49.25 / $59.47	Professional		$4.38	$49.25	$59.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $51.71 / $51.71 / $51.71	Facility		$51.71	$51.71	$51.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $4.05 / $4.93	Professional		$4.05	$4.05	$4.93
United Facility/Professional Professional Modifier Low / Median / High Price $26.84 / $27.12 / $51.60	Professional		$26.84	$27.12	$51.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $40.53 / $40.53	Professional		$40.53	$40.53	$40.53