Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $16.20 / $35.81	Professional		$10.78	$16.20	$35.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $31.45 / $151.87 / $151.87	Facility		$31.45	$151.87	$151.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $24.25 / $34.29	Professional		$3.61	$24.25	$34.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.16 / $21.16 / $21.16	Facility		$21.16	$21.16	$21.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $21.16 / $27.78	Professional		$17.98	$21.16	$27.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $32.39 / $32.39 / $32.39	Facility		$32.39	$32.39	$32.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.39 / $32.39 / $32.39	Professional		$32.39	$32.39	$32.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $25.26 / $30.38	Professional		$20.20	$25.26	$30.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.40 / $32.39 / $34.15	Facility		$29.40	$32.39	$34.15
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $32.39 / $35.63	Professional		$29.15	$32.39	$35.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $2.82 / $44.03	Facility		$2.82	$2.82	$44.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $26.73 / $36.17	Professional		$2.67	$26.73	$36.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.45 / $31.45 / $31.45	Facility		$31.45	$31.45	$31.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $2.73	Professional		$2.24	$2.24	$2.73
United Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $15.99 / $30.74	Professional		$15.99	$15.99	$30.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $66.25 / $66.25	Professional		$66.25	$66.25	$66.25