Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.47 / $32.17 / $73.09	Professional		$31.47	$32.17	$73.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $58.34 / $305.83 / $305.83	Facility		$58.34	$305.83	$305.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $52.09 / $77.89	Professional		$35.00	$52.09	$77.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.67 / $42.67 / $42.67	Facility		$42.67	$42.67	$42.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $42.67 / $58.32	Professional		$36.27	$42.67	$58.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $60.09 / $60.09 / $60.09	Facility		$60.09	$60.09	$60.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.09 / $60.09 / $60.09	Professional		$60.09	$60.09	$60.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.11 / $61.39 / $73.81	Professional		$49.11	$61.39	$73.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.09 / $62.94 / $78.19	Facility		$60.09	$62.94	$78.19
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $62.94 / $74.18	Professional		$54.08	$62.94	$74.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $56.47 / $67.09	Facility		$5.77	$56.47	$67.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $49.59 / $66.51	Professional		$4.96	$49.59	$66.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.34 / $58.34 / $58.34	Facility		$58.34	$58.34	$58.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $5.79 / $7.05	Professional		$5.79	$5.79	$7.05
United Facility/Professional Professional Modifier Low / Median / High Price $30.27 / $35.32 / $58.19	Professional		$30.27	$35.32	$58.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.29 / $48.29 / $48.29	Professional		$48.29	$48.29	$48.29