Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $28.98 / $64.55	Professional		$28.96	$28.98	$64.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $56.27 / $272.00 / $272.00	Facility		$56.27	$272.00	$272.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $33.69 / $44.66 / $62.28	Professional		$33.69	$44.66	$62.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $37.90	Facility		$37.90	$37.90	$37.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $37.90 / $49.76	Professional		$32.22	$37.90	$49.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $57.95 / $57.95 / $57.95	Facility		$57.95	$57.95	$57.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.95 / $57.95 / $57.95	Professional		$57.95	$57.95	$57.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $46.50 / $55.94	Professional		$37.20	$46.50	$55.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.38 / $57.95 / $62.05	Facility		$53.38	$57.95	$62.05
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $57.95 / $62.05	Professional		$57.75	$57.95	$62.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.09 / $5.09 / $98.47	Facility		$5.09	$5.09	$98.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $47.83 / $54.58	Professional		$4.79	$47.83	$54.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $56.27 / $56.27 / $56.27	Facility		$56.27	$56.27	$56.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.11 / $4.11 / $5.00	Professional		$4.11	$4.11	$5.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $28.82 / $55.40	Professional		$27.61	$28.82	$55.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $62.37 / $62.37	Professional		$62.37	$62.37	$62.37