Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $41.33 / $41.33	Professional		$20.36	$41.33	$41.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $208.86 / $208.86	Facility		$75.00	$208.86	$208.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $95.85 / $329.78	Professional		$29.37	$95.85	$329.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $23.12 / $23.12	Professional		$23.12	$23.12	$23.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $50.40 / $130.24	Facility		$30.00	$50.40	$130.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.66 / $54.56 / $119.63	Professional		$31.66	$54.56	$119.63
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 $43.97 / $43.97 / $65.95	Facility		$43.97	$43.97	$65.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.57 / $39.57 / $39.57	Professional		$39.57	$39.57	$39.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.97 / $71.81 / $93.39	Professional		$43.97	$71.81	$93.39
United Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $18.47 / $52.76	Professional		$18.47	$18.47	$52.76