Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $34.47 / $79.20	Professional		$23.18	$34.47	$79.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $304.95 / $304.95	Facility		$58.70	$304.95	$304.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $51.67 / $83.79	Professional		$6.75	$51.67	$83.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.49 / $42.49 / $55.77	Facility		$42.49	$42.49	$55.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $42.49 / $55.77	Professional		$36.11	$42.49	$55.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $62.81 / $62.81 / $62.81	Facility		$62.81	$62.81	$62.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $62.81 / $62.81	Professional		$62.81	$62.81	$62.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.73 / $63.04 / $69.34	Professional		$56.73	$63.04	$69.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.81 / $68.95 / $78.93	Facility		$62.81	$68.95	$78.93
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $56.53 / $68.95 / $75.45	Professional		$56.53	$68.95	$75.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.87 / $58.70 / $58.70	Facility		$5.87	$58.70	$58.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $51.83 / $118.34	Professional		$5.19	$51.83	$118.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $60.98 / $60.98 / $60.98	Facility		$60.98	$60.98	$60.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $5.54 / $6.75	Professional		$5.54	$5.54	$6.75
United Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $36.01 / $60.94	Professional		$31.72	$36.01	$60.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $48.18 / $48.18	Professional		$48.18	$48.18	$48.18