Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $27.98 / $61.18	Professional		$27.50	$27.98	$61.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $54.64 / $261.19 / $261.19	Facility		$54.64	$261.19	$261.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $41.19 / $61.53	Professional		$4.63	$41.19	$61.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $36.74 / $36.74	Facility		$36.74	$36.74	$36.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.23 / $36.74 / $48.23	Professional		$31.23	$36.74	$48.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $55.95 / $55.95 / $55.95	Facility		$55.95	$55.95	$55.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $55.95	Professional		$55.95	$55.95	$55.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $42.89 / $51.56	Professional		$34.31	$42.89	$51.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $55.01 / $57.61	Facility		$50.36	$55.01	$57.61
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $55.01 / $57.61	Professional		$50.36	$55.01	$57.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.87 / $4.87 / $76.50	Facility		$4.87	$4.87	$76.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $46.46 / $98.24	Professional		$4.63	$46.46	$98.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.64 / $54.64 / $54.64	Facility		$54.64	$54.64	$54.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $3.78 / $4.59	Professional		$3.78	$3.78	$4.59
United Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $27.44 / $48.03	Professional		$25.45	$27.44	$48.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $38.04 / $41.19	Professional		$38.04	$38.04	$41.19