Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $27.40 / $62.13	Professional		$21.49	$27.40	$62.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $48.10 / $247.01 / $247.01	Facility		$48.10	$247.01	$247.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $41.86 / $65.26	Professional		$5.42	$41.86	$65.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $34.40 / $34.40	Facility		$34.40	$34.40	$34.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $34.40 / $46.44	Professional		$29.25	$34.40	$46.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $52.04 / $52.04	Facility		$52.04	$52.04	$52.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $52.04 / $52.04	Professional		$52.04	$52.04	$52.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $50.35 / $60.54	Professional		$40.28	$50.35	$60.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $53.30 / $64.29	Facility		$52.04	$53.30	$64.29
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $52.18 / $61.23	Professional		$52.04	$52.18	$61.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $48.10 / $48.10	Facility		$4.80	$48.10	$48.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $49.00	Professional		$4.29	$4.29	$49.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $50.52 / $50.52 / $50.52	Facility		$50.52	$50.52	$50.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.45 / $5.42	Professional		$4.45	$4.45	$5.42
United Facility/Professional Facility Modifier Low / Median / High Price $2.56 / $22.05 / $32.36	Facility		$2.56	$22.05	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $29.88 / $49.16	Professional		$25.58	$29.88	$49.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.69 / $32.69 / $32.69	Professional		$32.69	$32.69	$32.69