Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $28.88 / $64.09	Professional		$20.13	$28.88	$64.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $86.18 / $270.08 / $270.08	Facility		$86.18	$270.08	$270.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.07 / $45.31 / $65.44	Professional		$5.07	$45.31	$65.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.64 / $37.64 / $37.64	Facility		$37.64	$37.64	$37.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.99 / $37.64 / $49.41	Professional		$31.99	$37.64	$49.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $57.45 / $57.45 / $57.45	Facility		$57.45	$57.45	$57.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.45 / $57.45 / $57.45	Professional		$57.45	$57.45	$57.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.74 / $47.18 / $56.74	Professional		$37.74	$47.18	$56.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.54 / $57.45 / $61.72	Facility		$53.54	$57.45	$61.72
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $51.71 / $57.45 / $63.20	Professional		$51.71	$57.45	$63.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.07 / $50.70 / $64.14	Facility		$5.07	$50.70	$64.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $54.10 / $64.14	Professional		$4.74	$54.10	$64.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $55.77 / $55.77 / $55.77	Facility		$55.77	$55.77	$55.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $4.16 / $5.07	Professional		$4.16	$4.16	$5.07
United Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $28.61 / $55.01	Professional		$28.00	$28.61	$55.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.85 / $41.85 / $45.31	Professional		$41.85	$41.85	$45.31