Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $26.16 / $58.45	Professional		$21.22	$26.16	$58.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $45.91 / $111.63 / $239.48	Facility		$45.91	$111.63	$239.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $40.54 / $62.93	Professional		$5.36	$40.54	$62.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $33.36 / $33.36	Facility		$33.36	$33.36	$33.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.36 / $33.36 / $44.28	Professional		$28.36	$33.36	$44.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $48.94 / $48.94 / $48.94	Facility		$48.94	$48.94	$48.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.94 / $48.94 / $48.94	Professional		$48.94	$48.94	$48.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $49.74 / $59.79	Professional		$39.79	$49.74	$59.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.94 / $49.10 / $63.36	Facility		$48.94	$49.10	$63.36
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $48.94 / $49.10 / $59.93	Professional		$48.94	$49.10	$59.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $45.91 / $45.91	Facility		$4.59	$45.91	$45.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $46.08 / $92.57	Professional		$4.04	$46.08	$92.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $47.51 / $47.51	Facility		$47.51	$47.51	$47.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.40 / $5.36	Professional		$4.40	$4.40	$5.36
United Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $29.51 / $48.93	Professional		$25.46	$29.51	$48.93