Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $61.20 / $80.36	Professional		$30.17	$61.20	$80.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $85.31 / $131.33 / $378.85	Facility		$85.31	$131.33	$378.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $74.54 / $97.37 / $535.20	Professional		$74.54	$97.37	$535.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $35.07 / $35.07	Professional		$35.07	$35.07	$35.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $51.46 / $90.47 / $236.37	Facility		$51.46	$90.47	$236.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $90.24 / $162.91	Professional		$51.94	$90.24	$162.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.22 / $82.15 / $82.15	Professional		$67.22	$82.15	$82.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.34 / $92.92 / $97.43	Facility		$77.34	$92.92	$97.43
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $87.69 / $97.43 / $97.43	Professional		$87.69	$97.43	$97.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.31 / $85.31 / $85.31	Facility		$85.31	$85.31	$85.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.87 / $95.14 / $140.02	Professional		$80.87	$95.14	$140.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $82.82 / $107.17	Professional		$77.84	$82.82	$107.17
United Facility/Professional Professional Modifier Low / Median / High Price $33.70 / $36.46 / $69.55	Professional		$33.70	$36.46	$69.55