Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $27.93 / $62.95	Professional		$26.81	$27.93	$62.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $47.29 / $262.88 / $262.88	Facility		$47.29	$262.88	$262.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.11 / $44.81 / $67.81	Professional		$5.11	$44.81	$67.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $36.65 / $36.65	Facility		$36.65	$36.65	$36.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $36.65 / $48.10	Professional		$31.15	$36.65	$48.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $52.00 / $52.00	Facility		$52.00	$52.00	$52.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $52.00 / $52.00	Professional		$52.00	$52.00	$52.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $47.61 / $52.37	Professional		$42.84	$47.61	$52.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $55.86 / $61.08	Facility		$52.00	$55.86	$61.08
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $52.00 / $61.08	Professional		$46.80	$52.00	$61.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.73 / $47.29 / $47.29	Facility		$4.73	$47.29	$47.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $42.92 / $95.35	Professional		$4.29	$42.92	$95.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $50.49 / $50.49 / $50.49	Facility		$50.49	$50.49	$50.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $4.20 / $5.11	Professional		$4.20	$4.20	$5.11
United Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $26.69 / $51.30	Professional		$24.35	$26.69	$51.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $36.40 / $36.40	Professional		$36.40	$36.40	$36.40