Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.38 / $58.67 / $134.49	Professional		$58.38	$58.67	$134.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $560.90 / $560.90	Facility		$100.00	$560.90	$560.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $95.43 / $147.94	Professional		$11.42	$95.43	$147.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.15 / $78.15 / $78.15	Facility		$78.15	$78.15	$78.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $78.15 / $105.84	Professional		$66.43	$78.15	$105.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $111.98 / $111.98 / $111.98	Facility		$111.98	$111.98	$111.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.98 / $111.98 / $111.98	Professional		$111.98	$111.98	$111.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.20 / $106.50 / $117.15	Professional		$85.20	$106.50	$117.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $111.98 / $117.29 / $133.40	Facility		$111.98	$117.29	$133.40
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $110.36 / $117.29 / $133.32	Professional		$110.36	$117.29	$133.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $102.97 / $102.97	Facility		$10.30	$102.97	$102.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $105.46 / $207.61	Professional		$9.24	$105.46	$207.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $108.72 / $108.72 / $108.72	Facility		$108.72	$108.72	$108.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $9.38 / $11.42	Professional		$9.38	$9.38	$11.42
United Facility/Professional Professional Modifier Low / Median / High Price $54.47 / $58.10 / $101.67	Professional		$54.47	$58.10	$101.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.41 / $81.41 / $81.41	Professional		$81.41	$81.41	$81.41