Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $29.69 / $65.91	Professional		$20.84	$29.69	$65.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $88.38 / $277.14 / $277.14	Facility		$88.38	$277.14	$277.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $46.91 / $67.45	Professional		$5.28	$46.91	$67.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.63 / $38.63 / $38.63	Facility		$38.63	$38.63	$38.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $38.63 / $50.70	Professional		$32.84	$38.63	$50.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $58.92 / $58.92 / $58.92	Facility		$58.92	$58.92	$58.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.92 / $58.92 / $58.92	Professional		$58.92	$58.92	$58.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $48.85 / $58.73	Professional		$39.08	$48.85	$58.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.19 / $59.22 / $63.65	Facility		$55.19	$59.22	$63.65
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $53.03 / $58.92 / $60.81	Professional		$53.03	$58.92	$60.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.13 / $52.13 / $80.08	Facility		$52.13	$52.13	$80.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $55.48 / $65.78	Professional		$4.86	$55.48	$65.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $57.20 / $57.20 / $57.20	Facility		$57.20	$57.20	$57.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $4.34 / $5.28	Professional		$4.34	$4.34	$5.28
United Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $33.82 / $56.57	Professional		$28.99	$33.82	$56.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.33 / $43.33 / $46.91	Professional		$43.33	$43.33	$46.91