Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.41 / $34.28 / $76.75	Professional		$29.41	$34.28	$76.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $60.66 / $297.88 / $297.88	Facility		$60.66	$297.88	$297.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.38 / $50.46 / $87.11	Professional		$7.38	$50.46	$87.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.54 / $41.54 / $55.62	Facility		$41.54	$41.54	$55.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.31 / $41.54 / $61.56	Professional		$35.31	$41.54	$61.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $62.48 / $62.48 / $62.48	Facility		$62.48	$62.48	$62.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.48 / $62.48 / $62.48	Professional		$62.48	$62.48	$62.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $68.94 / $75.83	Professional		$55.15	$68.94	$75.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.48 / $63.40 / $86.35	Facility		$62.48	$63.40	$86.35
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $63.40 / $78.43	Professional		$56.23	$63.40	$78.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.01 / $60.17 / $84.92	Facility		$6.01	$60.17	$84.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.16 / $51.56 / $121.30	Professional		$5.16	$51.56	$121.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $60.66 / $60.66 / $60.66	Facility		$60.66	$60.66	$60.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $6.06 / $7.38	Professional		$6.06	$6.06	$7.38
United Facility/Professional Professional Modifier Low / Median / High Price $32.83 / $40.90 / $63.07	Professional		$32.83	$40.90	$63.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.46 / $50.46 / $61.14	Professional		$50.46	$50.46	$61.14