Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.42 / $43.99 / $104.43	Professional		$36.42	$43.99	$104.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $401.40 / $401.40	Facility		$100.00	$401.40	$401.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $49.85 / $68.15 / $112.20	Professional		$49.85	$68.15	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.97 / $55.97 / $73.45	Facility		$55.97	$55.97	$73.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $55.97 / $73.45	Professional		$47.57	$55.97	$73.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $81.55 / $81.55 / $81.55	Facility		$81.55	$81.55	$81.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.55 / $81.55 / $81.55	Professional		$81.55	$81.55	$81.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.27 / $85.34 / $93.87	Professional		$68.27	$85.34	$93.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.55 / $89.91 / $106.90	Facility		$81.55	$89.91	$106.90
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $81.55 / $101.07	Professional		$73.40	$81.55	$101.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.72 / $77.20 / $91.06	Facility		$7.72	$77.20	$91.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $67.30 / $91.06	Professional		$6.73	$67.30	$91.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $79.18 / $79.18 / $79.18	Facility		$79.18	$79.18	$79.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $7.51 / $9.14	Professional		$7.51	$7.51	$9.14
United Facility/Professional Professional Modifier Low / Median / High Price $41.89 / $50.64 / $80.48	Professional		$41.89	$50.64	$80.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.15 / $68.15 / $75.69	Professional		$68.15	$68.15	$75.69