Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $17.48 / $38.90	Professional		$11.90	$17.48	$38.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $53.74 / $159.78 / $159.78	Facility		$53.74	$159.78	$159.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $26.78 / $40.02	Professional		$20.17	$26.78	$40.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.28 / $22.28 / $29.25	Facility		$22.28	$22.28	$29.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $22.28 / $29.25	Professional		$18.94	$22.28	$29.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $31.63 / $31.63 / $31.63	Facility		$31.63	$31.63	$31.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $31.63 / $31.63	Professional		$31.63	$31.63	$31.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $27.89 / $33.54	Professional		$22.31	$27.89	$33.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.63 / $34.97 / $38.10	Facility		$31.63	$34.97	$38.10
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $29.73 / $31.63 / $36.38	Professional		$29.73	$31.63	$36.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $2.85 / $42.99	Facility		$2.85	$2.85	$42.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $26.10 / $35.32	Professional		$2.61	$26.10	$35.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.71 / $30.71 / $30.71	Facility		$30.71	$30.71	$30.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $3.01	Professional		$2.47	$2.47	$3.01
United Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $16.55 / $31.02	Professional		$16.13	$16.55	$31.02