Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $25.43 / $25.43	Professional		$19.30	$25.43	$25.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $128.49 / $128.49	Facility		$75.00	$128.49	$128.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $61.59 / $202.88	Professional		$24.35	$61.59	$202.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $14.22	Professional		$14.22	$14.22	$14.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $25.73 / $33.81 / $80.12	Facility		$25.73	$33.81	$80.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $38.69 / $74.26	Professional		$26.66	$38.69	$74.26
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 $27.05 / $27.05 / $40.58	Facility		$27.05	$27.05	$40.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $24.35 / $24.35	Professional		$24.35	$24.35	$24.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $44.46 / $57.31	Professional		$27.05	$44.46	$57.31
United Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $30.30	Professional		$11.36	$11.36	$30.30