Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $19.04 / $20.26	Professional		$10.74	$19.04	$20.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $96.72 / $96.72	Facility		$75.00	$96.72	$96.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $44.17 / $151.94	Professional		$19.04	$44.17	$151.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $10.65 / $10.65	Professional		$10.65	$10.65	$10.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $31.50 / $69.37	Facility		$20.26	$31.50	$69.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $34.44 / $65.37	Professional		$20.26	$34.44	$65.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $20.26 / $30.39	Facility		$20.26	$20.26	$30.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $18.23 / $18.23	Professional		$18.23	$18.23	$18.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $33.06 / $43.16	Professional		$22.41	$33.06	$43.16
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $24.31	Professional		$8.51	$8.51	$24.31