Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $33.43 / $64.45	Professional		$22.30	$33.43	$64.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $58.08 / $317.39 / $317.39	Facility		$58.08	$317.39	$317.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $50.20 / $65.43	Professional		$40.11	$50.20	$65.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.42 / $44.42 / $44.42	Facility		$44.42	$44.42	$44.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $44.42 / $58.30	Professional		$37.76	$44.42	$58.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $59.48 / $59.48 / $59.48	Facility		$59.48	$59.48	$59.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.48 / $59.48 / $59.48	Professional		$59.48	$59.48	$59.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $45.60 / $53.42	Professional		$36.47	$45.60	$53.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.60 / $65.75 / $70.58	Facility		$56.60	$65.75	$70.58
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $56.60 / $59.48 / $67.52	Professional		$56.60	$59.48	$67.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.08 / $52.08 / $52.08	Facility		$52.08	$52.08	$52.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $49.37 / $66.79	Professional		$5.52	$49.37	$66.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.08 / $58.08 / $58.08	Facility		$58.08	$58.08	$58.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $4.74 / $5.77	Professional		$4.74	$4.74	$5.77
United Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $31.02 / $55.16	Professional		$28.91	$31.02	$55.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.14 / $46.14 / $50.20	Professional		$46.14	$46.14	$50.20