Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $29.84 / $66.28	Professional		$20.21	$29.84	$66.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $57.93 / $280.24 / $280.24	Facility		$57.93	$280.24	$280.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $45.49 / $63.77	Professional		$5.08	$45.49	$63.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.06 / $39.06 / $51.26	Facility		$39.06	$39.06	$51.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $39.06 / $51.26	Professional		$33.20	$39.06	$51.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $59.67 / $59.67 / $59.67	Facility		$59.67	$59.67	$59.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.67 / $59.67 / $59.67	Professional		$59.67	$59.67	$59.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $47.37 / $56.97	Professional		$37.89	$47.37	$56.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $54.66 / $59.67 / $63.51	Facility		$54.66	$59.67	$63.51
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $54.66 / $59.67 / $62.65	Professional		$54.66	$59.67	$62.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $52.19 / $66.62	Facility		$5.22	$52.19	$66.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.92 / $49.24 / $57.93	Professional		$4.92	$49.24	$57.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $57.93 / $57.93 / $57.93	Facility		$57.93	$57.93	$57.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $5.08	Professional		$4.17	$4.17	$5.08
United Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $29.59 / $51.78	Professional		$28.12	$29.59	$51.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.63 / $52.63 / $52.63	Professional		$52.63	$52.63	$52.63