Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $27.19 / $54.81	Professional		$18.97	$27.19	$54.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $60.34 / $258.33 / $258.33	Facility		$60.34	$258.33	$258.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $42.69 / $61.62	Professional		$4.29	$42.69	$61.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $25.20 / $25.20	Facility		$25.20	$25.20	$25.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $25.20 / $47.67	Professional		$21.42	$25.20	$47.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $54.05 / $54.05 / $54.05	Facility		$54.05	$54.05	$54.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.05 / $54.05 / $54.05	Professional		$54.05	$54.05	$54.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $44.46 / $48.90	Professional		$35.56	$44.46	$48.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.14 / $54.05 / $58.66	Facility		$48.14	$54.05	$58.66
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $49.29 / $54.05 / $56.02	Professional		$49.29	$54.05	$56.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.53 / $4.53 / $73.45	Facility		$4.53	$4.53	$73.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $50.90 / $96.22	Professional		$4.29	$50.90	$96.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.47 / $52.47 / $52.47	Facility		$52.47	$52.47	$52.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $3.49 / $4.25	Professional		$3.49	$3.49	$4.25
United Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $25.89 / $46.92	Professional		$24.59	$25.89	$46.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $39.43 / $42.69	Professional		$39.43	$39.43	$42.69