Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.28 / $30.49 / $67.50	Professional		$30.28	$30.49	$67.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $59.21 / $286.32 / $286.32	Facility		$59.21	$286.32	$286.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $46.64 / $68.38	Professional		$5.24	$46.64	$68.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.90 / $39.90 / $39.90	Facility		$39.90	$39.90	$39.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $39.90 / $52.38	Professional		$33.92	$39.90	$52.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $60.98 / $60.98 / $60.98	Facility		$60.98	$60.98	$60.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.98 / $60.98 / $60.98	Professional		$60.98	$60.98	$60.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.84 / $48.56 / $58.38	Professional		$38.84	$48.56	$58.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.94 / $60.98 / $64.42	Facility		$55.94	$60.98	$64.42
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $60.01 / $60.98 / $61.63	Professional		$60.01	$60.98	$61.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.35 / $53.38 / $68.09	Facility		$5.35	$53.38	$68.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $55.27 / $107.63	Professional		$5.03	$55.27	$107.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $59.21 / $59.21 / $59.21	Facility		$59.21	$59.21	$59.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $4.30 / $5.24	Professional		$4.30	$4.30	$5.24
United Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $30.13 / $57.93	Professional		$28.82	$30.13	$57.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.07 / $43.07 / $46.64	Professional		$43.07	$43.07	$46.64