Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $42.16 / $93.55	Professional		$41.55	$42.16	$93.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $391.25 / $391.25	Facility		$100.00	$391.25	$391.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.67 / $66.79 / $96.35	Professional		$7.67	$66.79	$96.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.52 / $54.52 / $54.52	Facility		$54.52	$54.52	$54.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.34 / $54.52 / $71.56	Professional		$46.34	$54.52	$71.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $83.09 / $83.09 / $83.09	Facility		$83.09	$83.09	$83.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.09 / $83.09 / $83.09	Professional		$83.09	$83.09	$83.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.48 / $70.59 / $77.66	Professional		$56.48	$70.59	$77.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.83 / $84.54 / $90.95	Facility		$78.83	$84.54	$90.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $74.78 / $83.09 / $86.81	Professional		$74.78	$83.09	$86.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $7.41 / $112.94	Facility		$7.41	$7.41	$112.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $76.48 / $92.77	Professional		$6.86	$76.48	$92.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $80.67 / $80.67 / $80.67	Facility		$80.67	$80.67	$80.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $6.24 / $7.60	Professional		$6.24	$6.24	$7.60
United Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $41.90 / $73.06	Professional		$41.75	$41.90	$73.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.62 / $62.62 / $66.79	Professional		$62.62	$62.62	$66.79