Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.04 / $53.96 / $124.94	Professional		$47.04	$53.96	$124.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $94.70 / $476.61 / $476.61	Facility		$94.70	$476.61	$476.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $80.73 / $132.94	Professional		$10.89	$80.73	$132.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.45 / $66.45 / $88.97	Facility		$66.45	$66.45	$88.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $66.45 / $88.97	Professional		$56.49	$66.45	$88.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $97.58 / $97.58 / $97.58	Facility		$97.58	$97.58	$97.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $97.58 / $97.58	Professional		$97.58	$97.58	$97.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $110.22 / $121.24	Professional		$75.00	$110.22	$121.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.58 / $103.26 / $140.41	Facility		$97.58	$103.26	$140.41
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $87.82 / $103.26 / $126.62	Professional		$87.82	$103.26	$126.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.47 / $9.47 / $108.95	Facility		$9.47	$9.47	$108.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $80.53 / $108.95	Professional		$8.05	$80.53	$108.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $94.74 / $94.74 / $94.74	Facility		$94.74	$94.74	$94.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $9.72 / $11.84	Professional		$9.72	$9.72	$11.84
United Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $65.41 / $99.64	Professional		$51.86	$65.41	$99.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.94 / $138.94 / $138.94	Professional		$138.94	$138.94	$138.94