Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $25.08 / $55.60	Professional		$24.94	$25.08	$55.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $48.69 / $101.82 / $235.26	Facility		$48.69	$101.82	$235.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $37.93 / $53.38	Professional		$28.61	$37.93	$53.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.79 / $32.79 / $32.79	Facility		$32.79	$32.79	$32.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $32.79 / $43.03	Professional		$27.87	$32.79	$43.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $50.16 / $50.16 / $50.16	Facility		$50.16	$50.16	$50.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $50.16 / $50.16	Professional		$50.16	$50.16	$50.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $39.50 / $47.50	Professional		$31.60	$39.50	$47.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.76 / $50.16 / $53.15	Facility		$45.76	$50.16	$53.15
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $50.16 / $50.84	Professional		$47.65	$50.16	$50.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $43.78 / $68.17	Facility		$4.38	$43.78	$68.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $41.39 / $55.99	Professional		$4.13	$41.39	$55.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48.69 / $48.69 / $48.69	Facility		$48.69	$48.69	$48.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.48 / $4.24	Professional		$3.48	$3.48	$4.24
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $24.82 / $47.72	Professional		$23.44	$24.82	$47.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $62.37 / $62.37	Professional		$62.37	$62.37	$62.37