Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.68 / $40.29 / $89.93	Professional		$38.68	$40.29	$89.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $67.89 / $380.20 / $380.20	Facility		$67.89	$380.20	$380.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $64.80 / $91.88	Professional		$6.98	$64.80	$91.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.80 / $46.80 / $46.80	Facility		$46.80	$46.80	$46.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $46.80 / $69.59	Professional		$39.78	$46.80	$69.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.09 / $76.09	Facility		$76.09	$76.09	$76.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $76.09	Professional		$76.09	$76.09	$76.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.58 / $65.09 / $71.59	Professional		$58.58	$65.09	$71.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $80.59 / $84.90	Facility		$76.09	$80.59	$84.90
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $76.09 / $84.90	Professional		$68.48	$76.09	$84.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.79 / $67.89 / $67.89	Facility		$6.79	$67.89	$67.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.28 / $62.79 / $84.95	Professional		$6.28	$62.79	$84.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $73.87 / $73.87 / $73.87	Facility		$73.87	$73.87	$73.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $6.98	Professional		$5.73	$5.73	$6.98
United Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $38.49 / $73.98	Professional		$38.49	$38.49	$73.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.84 / $53.84 / $53.84	Professional		$53.84	$53.84	$53.84