Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $36.09 / $47.08	Professional		$18.39	$36.09	$47.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $51.19 / $80.00 / $200.00	Facility		$51.19	$80.00	$200.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $93.79 / $328.95	Professional		$51.64	$93.79	$328.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.97 / $31.97 / $31.97	Facility		$31.97	$31.97	$31.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $31.07 / $31.07	Professional		$31.07	$31.07	$31.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $39.90 / $61.33 / $101.65	Facility		$39.90	$61.33	$101.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.44 / $65.28 / $106.74	Professional		$39.44	$65.28	$106.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $75.00	Professional		$45.00	$45.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.72 / $68.73 / $74.65	Facility		$49.72	$68.73	$74.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.19 / $51.19 / $51.19	Facility		$51.19	$51.19	$51.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $88.98 / $102.91	Professional		$58.70	$88.98	$102.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.21 / $70.67 / $93.79	Professional		$52.21	$70.67	$93.79
United Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $58.76 / $109.09	Professional		$36.54	$58.76	$109.09