Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.49 / $27.84 / $80.16	Facility		$11.49	$27.84	$80.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $11.49 / $23.83	Professional		$6.48	$11.49	$23.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $19.55 / $65.43	Facility		$12.83	$19.55	$65.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $24.81 / $100.48	Professional		$12.22	$24.81	$100.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.84 / $25.01 / $35.72	Facility		$8.84	$25.01	$35.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $13.58 / $18.57	Professional		$7.64	$13.58	$18.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $17.82 / $38.11	Facility		$12.22	$17.82	$38.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $21.38 / $38.11	Professional		$12.22	$21.38	$38.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $12.22 / $25.66	Facility		$12.22	$12.22	$25.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $11.00 / $12.22	Facility		$11.00	$11.00	$12.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $15.28 / $18.45	Professional		$11.00	$15.28	$18.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $20.16 / $33.61	Facility		$12.83	$20.16	$33.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $23.57 / $28.64	Professional		$14.25	$23.57	$28.64
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.99 / $13.69	Professional		$5.13	$6.99	$13.69