Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.95 / $23.24 / $49.64	Facility		$10.95	$23.24	$49.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $17.18 / $41.15	Professional		$8.78	$17.18	$41.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $50.00 / $50.20	Facility		$23.10	$50.00	$50.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $28.91 / $211.00	Professional		$14.16	$28.91	$211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $25.88 / $53.78	Professional		$13.48	$25.88	$53.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $22.01 / $40.97	Facility		$13.26	$22.01	$40.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $22.04 / $41.38	Professional		$13.26	$22.04	$41.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $5.54 / $11.51	Professional		$0.55	$5.54	$11.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $32.54 / $36.18	Facility		$17.48	$32.54	$36.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $23.10 / $24.22	Facility		$23.10	$23.10	$24.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.94 / $24.22 / $43.21	Professional		$14.94	$24.22	$43.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $23.56 / $41.02	Professional		$14.73	$23.56	$41.02
United Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $31.31 / $47.40	Professional		$20.68	$31.31	$47.40