Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $16.82 / $16.82	Facility		$16.82	$16.82	$16.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $16.82 / $19.98	Professional		$14.54	$16.82	$19.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $31.94 / $71.14 / $71.14	Facility		$31.94	$71.14	$71.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $38.68 / $135.44	Professional		$22.56	$38.68	$135.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $24.71 / $24.71	Professional		$24.71	$24.71	$24.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $53.88 / $53.88	Professional		$53.88	$53.88	$53.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.68 / $30.73 / $31.49	Facility		$20.68	$30.73	$31.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.29 / $21.29 / $21.48	Facility		$21.29	$21.29	$21.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.48 / $36.38 / $44.05	Professional		$23.48	$36.38	$44.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $30.57 / $40.52	Professional		$21.71	$30.57	$40.52
United Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $19.63 / $44.29	Professional		$14.11	$19.63	$44.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $41.40 / $41.40	Professional		$41.40	$41.40	$41.40