Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.00 / $74.00 / $74.00	Facility		$74.00	$74.00	$74.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $72.29 / $74.00	Professional		$67.27	$72.29	$74.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $176.32 / $768.75	Facility		$67.27	$176.32	$768.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $67.27 / $820.00	Professional		$66.31	$67.27	$820.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.47 / $63.47 / $127.24	Facility		$63.47	$63.47	$127.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $82.50	Professional		$67.27	$67.27	$82.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $67.27 / $90.81	Facility		$67.27	$67.27	$90.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $84.09	Professional		$67.27	$67.27	$84.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $67.27 / $898.54	Facility		$66.31	$67.27	$898.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.89 / $169.08 / $169.08	Facility		$113.89	$169.08	$169.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.86 / $92.53 / $145.91	Professional		$81.86	$92.53	$145.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $67.27 / $67.27	Facility		$67.27	$67.27	$67.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.91 / $67.27 / $67.27	Professional		$63.91	$67.27	$67.27
United Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $80.72	Professional		$67.27	$67.27	$80.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $75.45	Professional		$67.27	$67.27	$75.45