Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.59 / $30.93 / $71.76	Professional		$26.59	$30.93	$71.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $280.00 / $280.00	Facility		$54.67	$280.00	$280.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $47.32 / $76.30	Professional		$6.68	$47.32	$76.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.01 / $39.01 / $39.01	Facility		$39.01	$39.01	$39.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $39.01 / $51.20	Professional		$33.15	$39.01	$51.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $56.31 / $56.31 / $56.31	Facility		$56.31	$56.31	$56.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.31 / $56.31 / $56.31	Professional		$56.31	$56.31	$56.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.84 / $62.30 / $74.90	Professional		$49.84	$62.30	$74.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.31 / $61.22 / $75.09	Facility		$56.31	$61.22	$75.09
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $56.31 / $61.22 / $70.48	Professional		$56.31	$61.22	$70.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.28 / $54.28 / $76.54	Facility		$54.28	$54.28	$76.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.65 / $46.47 / $62.87	Professional		$4.65	$46.47	$62.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $54.67 / $54.67	Facility		$54.67	$54.67	$54.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.49 / $5.49 / $6.68	Professional		$5.49	$5.49	$6.68
United Facility/Professional Professional Modifier Low / Median / High Price $29.47 / $37.27 / $56.62	Professional		$29.47	$37.27	$56.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $66.25 / $66.25	Professional		$66.25	$66.25	$66.25