Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Facility		$40.11	$40.11	$40.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $40.11 / $40.11	Professional		$37.76	$40.11	$40.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $39.18 / $85.00 / $177.00	Facility		$39.18	$85.00	$177.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $179.36 / $212.40	Professional		$40.11	$179.36	$212.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $40.11 / $80.23	Facility		$40.11	$40.11	$80.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Professional		$40.11	$40.11	$40.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $7.82 / $7.82	Professional		$7.82	$7.82	$7.82
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 $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.18 / $39.18 / $40.11	Facility		$39.18	$39.18	$40.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $40.11 / $42.48	Professional		$36.34	$40.11	$42.48
United Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $39.33 / $47.20	Professional		$39.33	$39.33	$47.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Professional		$40.11	$40.11	$40.11