Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.95 / $57.17 / $132.25	Professional		$56.95	$57.17	$132.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $99.95 / $535.95 / $535.95	Facility		$99.95	$535.95	$535.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $66.13 / $90.95 / $143.47	Professional		$66.13	$90.95	$143.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.67 / $74.67 / $74.67	Facility		$74.67	$74.67	$74.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $74.67 / $98.00	Professional		$63.47	$74.67	$98.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $107.89 / $107.89 / $107.89	Facility		$107.89	$107.89	$107.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.89 / $107.89 / $107.89	Professional		$107.89	$107.89	$107.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.16 / $105.20 / $115.72	Professional		$84.16	$105.20	$115.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $107.89 / $114.34 / $134.01	Facility		$107.89	$114.34	$134.01
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $113.28 / $130.43	Professional		$97.10	$113.28	$130.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $99.95 / $99.95	Facility		$10.00	$99.95	$99.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $103.48 / $120.46	Professional		$8.91	$103.48	$120.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $104.75 / $104.75 / $104.75	Facility		$104.75	$104.75	$104.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $9.27 / $11.30	Professional		$9.27	$9.27	$11.30
United Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $56.68 / $108.93	Professional		$54.74	$56.68	$108.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $81.81 / $81.81	Professional		$81.81	$81.81	$81.81