Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.92 / $41.48	Professional		$18.62	$18.92	$41.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $36.42 / $177.61 / $177.61	Facility		$36.42	$177.61	$177.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $30.20 / $41.03	Professional		$3.09	$30.20	$41.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.94 / $24.94 / $24.94	Facility		$24.94	$24.94	$24.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $24.94 / $43.20	Professional		$21.20	$24.94	$43.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $37.29 / $37.29	Facility		$37.29	$37.29	$37.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $37.29 / $37.29	Professional		$37.29	$37.29	$37.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $28.59 / $34.36	Professional		$22.87	$28.59	$34.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.57 / $37.29 / $39.06	Facility		$33.57	$37.29	$39.06
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $37.29 / $38.04	Professional		$33.57	$37.29	$38.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $32.65 / $41.88	Facility		$3.26	$32.65	$41.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $30.96 / $65.68	Professional		$3.09	$30.96	$65.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.42 / $36.42 / $36.42	Facility		$36.42	$36.42	$36.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $2.52 / $3.07	Professional		$2.52	$2.52	$3.07
United Facility/Professional Professional Modifier Low / Median / High Price $18.53 / $19.96 / $35.50	Professional		$18.53	$19.96	$35.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $29.82 / $30.20	Professional		$29.82	$29.82	$30.20