Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $23.19 / $24.68	Professional		$21.69	$23.19	$24.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $128.63 / $128.63	Facility		$75.00	$128.63	$128.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $55.79 / $247.34	Professional		$30.03	$55.79	$247.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $22.32 / $22.32	Professional		$22.32	$22.32	$22.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $43.68 / $76.13	Facility		$28.52	$43.68	$76.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $46.50 / $76.13	Professional		$28.83	$46.50	$76.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $15.58 / $16.44	Professional		$15.58	$15.58	$16.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.65 / $48.24 / $58.04	Facility		$33.65	$48.24	$58.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $52.33 / $62.45	Professional		$32.90	$52.33	$62.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $43.29 / $55.73	Professional		$30.03	$43.29	$55.73
United Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $22.40 / $41.02	Professional		$13.82	$22.40	$41.02