Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $30.02 / $30.02	Professional		$14.48	$30.02	$30.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $151.72 / $151.72	Facility		$75.00	$151.72	$151.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $69.63 / $239.55	Professional		$14.53	$69.63	$239.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.80 / $16.80	Professional		$16.80	$16.80	$16.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $21.43 / $36.72 / $94.61	Facility		$21.43	$36.72	$94.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $39.65 / $86.94	Professional		$23.00	$39.65	$86.94
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 $31.94 / $31.94 / $47.91	Facility		$31.94	$31.94	$47.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $28.75 / $28.75	Professional		$28.75	$28.75	$28.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $52.44 / $67.92	Professional		$31.94	$52.44	$67.92
United Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $13.41 / $35.77	Professional		$13.41	$13.41	$35.77