Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $36.08 / $81.48	Professional		$30.24	$36.08	$81.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $64.55 / $331.44 / $331.44	Facility		$64.55	$331.44	$331.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $56.04 / $88.34	Professional		$7.62	$56.04	$88.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.18 / $46.18 / $46.18	Facility		$46.18	$46.18	$46.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $46.18 / $60.61	Professional		$39.25	$46.18	$60.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $66.48 / $66.48	Facility		$66.48	$66.48	$66.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $66.48 / $66.48	Professional		$66.48	$66.48	$66.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.69 / $70.87 / $77.95	Professional		$56.69	$70.87	$77.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $67.78 / $90.28	Facility		$66.48	$67.78	$90.28
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $66.48 / $84.13	Professional		$66.48	$66.48	$84.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $6.34 / $74.23	Facility		$6.34	$6.34	$74.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $54.87 / $76.75	Professional		$5.48	$54.87	$76.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $64.55 / $64.55 / $64.55	Facility		$64.55	$64.55	$64.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $6.26 / $7.62	Professional		$6.26	$6.26	$7.62
United Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $41.90 / $69.00	Professional		$35.90	$41.90	$69.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $65.88	Professional		$65.88	$65.88	$65.88