Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.11 / $23.11 / $23.11	Facility		$23.11	$23.11	$23.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $23.11 / $27.40	Professional		$19.30	$23.11	$27.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $39.56 / $89.29 / $89.29	Facility		$39.56	$89.29	$89.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $46.01 / $166.73	Professional		$26.80	$46.01	$166.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $30.50 / $30.50	Professional		$22.35	$30.50	$30.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $60.08 / $60.08	Professional		$60.08	$60.08	$60.08
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 $25.52 / $38.86 / $38.86	Facility		$25.52	$38.86	$38.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $26.51 / $28.09	Facility		$26.51	$26.51	$28.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $44.89 / $55.22	Professional		$29.76	$44.89	$55.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $38.04 / $52.09	Professional		$26.80	$38.04	$52.09
United Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $25.20 / $55.93	Professional		$21.62	$25.20	$55.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $88.06 / $88.06	Professional		$88.06	$88.06	$88.06