Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.29 / $21.12 / $47.54	Professional		$20.29	$21.12	$47.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $36.19 / $100.00 / $199.27	Facility		$36.19	$100.00	$199.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $33.96 / $46.87	Professional		$4.01	$33.96	$46.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.79 / $27.79 / $27.79	Facility		$27.79	$27.79	$27.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $27.79 / $36.47	Professional		$23.62	$27.79	$36.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $39.42 / $39.42 / $39.42	Facility		$39.42	$39.42	$39.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $39.42 / $39.42	Professional		$39.42	$39.42	$39.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.55 / $37.28 / $41.00	Professional		$33.55	$37.28	$41.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.42 / $42.23 / $46.45	Facility		$39.42	$42.23	$46.45
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $39.42 / $45.98	Professional		$35.47	$39.42	$45.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.62 / $36.19 / $36.19	Facility		$3.62	$36.19	$36.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $32.53 / $44.01	Professional		$3.26	$32.53	$44.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.27 / $38.27 / $38.27	Facility		$38.27	$38.27	$38.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.29 / $3.29 / $4.01	Professional		$3.29	$3.29	$4.01
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $20.19 / $35.33	Professional		$19.05	$20.19	$35.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $27.40	Professional		$27.40	$27.40	$27.40