Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $30.60 / $92.46	Facility		$10.40	$30.60	$92.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $10.40 / $24.25	Professional		$8.23	$10.40	$24.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $17.70 / $33.72	Facility		$11.61	$17.70	$33.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $23.20 / $180.00	Professional		$12.58	$23.20	$180.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.22 / $29.67 / $158.28	Facility		$26.22	$29.67	$158.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $9.66 / $16.04	Professional		$9.66	$9.66	$16.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11.06 / $19.36 / $33.88	Facility		$11.06	$19.36	$33.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $18.80 / $33.18	Professional		$11.06	$18.80	$33.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $10.82 / $11.73	Professional		$10.82	$10.82	$11.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.06 / $11.06 / $28.00	Facility		$11.06	$11.06	$28.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.06 / $19.23 / $33.18	Facility		$11.06	$19.23	$33.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $9.94 / $9.94	Professional		$9.94	$9.94	$9.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $17.70 / $30.42	Facility		$11.61	$17.70	$30.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $21.99 / $33.86	Professional		$14.78	$21.99	$33.86
United Facility/Professional Professional Modifier Low / Median / High Price $4.61 / $4.65 / $12.39	Professional		$4.61	$4.65	$12.39