Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.11 / $31.26 / $48.59	Professional		$30.11	$31.26	$48.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $49.43 / $83.12 / $317.10	Professional		$49.43	$83.12	$317.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $33.93 / $33.93	Professional		$33.93	$33.93	$33.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.10 / $69.55 / $98.63	Professional		$34.10	$69.55	$98.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $54.51 / $92.81	Professional		$9.15	$54.51	$92.81
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $29.23 / $29.23	Professional		$29.23	$29.23	$29.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.97 / $83.85 / $103.10	Professional		$54.97	$83.85	$103.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.43 / $70.19 / $94.49	Professional		$49.43	$70.19	$94.49
United Facility/Professional Professional Modifier Low / Median / High Price $26.08 / $38.52 / $101.65	Professional		$26.08	$38.52	$101.65