Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.19 / $50.72 / $117.06	Professional		$40.19	$50.72	$117.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $93.00 / $476.10 / $476.10	Facility		$93.00	$476.10	$476.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $80.98 / $128.25	Professional		$10.70	$80.98	$128.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.38 / $66.38 / $66.38	Facility		$66.38	$66.38	$66.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $66.38 / $87.12	Professional		$56.42	$66.38	$87.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $95.79 / $95.79 / $95.79	Facility		$95.79	$95.79	$95.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.79 / $95.79 / $95.79	Professional		$95.79	$95.79	$95.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $94.17 / $103.58	Professional		$75.00	$94.17	$103.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $95.79 / $101.43 / $121.10	Facility		$95.79	$101.43	$121.10
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $95.79 / $101.43 / $115.57	Professional		$95.79	$101.43	$115.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.89 / $8.89 / $106.95	Facility		$8.89	$8.89	$106.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $90.74 / $179.36	Professional		$7.91	$90.74	$179.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $93.00 / $93.00 / $93.00	Facility		$93.00	$93.00	$93.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $8.28 / $10.09	Professional		$8.28	$8.28	$10.09
United Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $55.88 / $96.46	Professional		$50.19	$55.88	$96.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $80.98 / $83.52	Professional		$80.98	$80.98	$83.52