Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $19.19 / $71.47	Professional		$18.25	$19.19	$71.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $128.63 / $128.63	Facility		$75.00	$128.63	$128.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $55.79 / $247.34	Professional		$30.03	$55.79	$247.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $22.32 / $22.32	Professional		$22.32	$22.32	$22.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $52.30 / $89.67	Facility		$31.00	$52.30	$89.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $57.21 / $82.75	Professional		$39.04	$57.21	$82.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.64 / $48.24 / $61.64	Facility		$38.64	$48.24	$61.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $52.33 / $62.45	Professional		$32.90	$52.33	$62.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $43.29 / $55.73	Professional		$30.03	$43.29	$55.73
United Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $23.04 / $41.02	Professional		$13.82	$23.04	$41.02