Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $13.77 / $21.68	Professional		$5.71	$13.77	$21.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $69.59 / $100.00	Facility		$50.00	$69.59	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $31.13 / $109.88	Professional		$11.63	$31.13	$109.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.18 / $16.52 / $20.91	Professional		$4.18	$16.52	$20.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11.72 / $16.26 / $38.58	Facility		$11.72	$16.26	$38.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $18.96 / $40.17	Professional		$12.00	$18.96	$40.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $16.11 / $75.00	Professional		$14.65	$16.11	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.65 / $14.65 / $21.98	Facility		$14.65	$14.65	$21.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $13.19 / $13.19	Professional		$13.19	$13.19	$13.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $25.83 / $31.13	Professional		$14.65	$25.83	$31.13
United Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $8.78 / $29.89	Professional		$8.78	$8.78	$29.89