Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $66.90 / $151.38	Professional		$59.71	$66.90	$151.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $585.33 / $585.33	Facility		$100.00	$585.33	$585.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $72.30 / $99.05 / $166.28	Professional		$72.30	$99.05	$166.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.62 / $81.62 / $109.27	Facility		$81.62	$81.62	$109.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $81.62 / $109.27	Professional		$69.38	$81.62	$109.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $119.53 / $119.53 / $119.53	Facility		$119.53	$119.53	$119.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.53 / $119.53 / $119.53	Professional		$119.53	$119.53	$119.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $139.93 / $153.92	Professional		$75.00	$139.93	$153.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $119.53 / $122.29 / $178.26	Facility		$119.53	$122.29	$178.26
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $119.53 / $122.29 / $158.36	Professional		$119.53	$122.29	$158.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $117.41 / $162.46	Facility		$11.74	$117.41	$162.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $98.63 / $121.53	Professional		$9.86	$98.63	$121.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $116.04 / $116.04 / $116.04	Facility		$116.04	$116.04	$116.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $12.33 / $15.01	Professional		$12.33	$12.33	$15.01
United Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $83.05 / $122.74	Professional		$63.90	$83.05	$122.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $200.04 / $200.04 / $200.04	Professional		$200.04	$200.04	$200.04