Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.24 / $43.24 / $43.24	Facility		$43.24	$43.24	$43.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $43.24 / $45.29	Professional		$39.31	$43.24	$45.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $969.00 / $1,710.00	Facility		$39.31	$969.00	$1,710.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $3,990.00	Professional		$39.31	$39.31	$3,990.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.09 / $37.09 / $889.48	Facility		$37.09	$37.09	$889.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $48.21	Professional		$39.31	$39.31	$48.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $39.31 / $53.07	Facility		$39.31	$39.31	$53.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $53.07	Professional		$39.31	$39.31	$53.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $75.00	Professional		$30.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $41.55 / $86.24	Facility		$39.31	$41.55	$86.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $946.20 / $946.20 / $969.00	Facility		$946.20	$946.20	$969.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $877.80 / $969.00 / $1,026.00	Professional		$877.80	$969.00	$1,026.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $39.31 / $39.31	Facility		$39.31	$39.31	$39.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.34 / $39.31 / $39.31	Professional		$37.34	$39.31	$39.31
United Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $47.17	Professional		$39.31	$39.31	$47.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $131.94	Professional		$39.31	$39.31	$131.94