Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $33.75 / $33.75	Facility		$33.75	$33.75	$33.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $33.75 / $36.79	Professional		$10.09	$33.75	$36.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.18 / $70.00 / $70.00	Facility		$17.18	$70.00	$70.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $33.26 / $153.85	Professional		$16.82	$33.26	$153.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $17.35 / $17.35	Professional		$17.35	$17.35	$17.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $34.26 / $34.26	Professional		$34.26	$34.26	$34.26
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 $14.48 / $20.34 / $22.11	Facility		$14.48	$20.34	$22.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.08 / $15.08 / $51.64	Facility		$15.08	$15.08	$51.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $27.64 / $43.34	Professional		$17.35	$27.64	$43.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.68 / $17.55 / $18.80	Facility		$15.68	$17.55	$18.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $27.39 / $50.55	Professional		$18.10	$27.39	$50.55
United Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $11.71 / $30.61	Professional		$7.11	$11.71	$30.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $32.02 / $32.02	Professional		$32.02	$32.02	$32.02