Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.75 / $30.62 / $49.19	Facility		$22.75	$30.62	$49.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $18.64 / $40.01	Professional		$15.43	$18.64	$40.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $78.72 / $105.00 / $105.00	Facility		$78.72	$105.00	$105.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $36.03 / $162.30	Professional		$22.73	$36.03	$162.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $30.10 / $52.15	Professional		$17.73	$30.10	$52.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $17.52 / $29.16 / $44.90	Facility		$17.52	$29.16	$44.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $27.79 / $44.90	Professional		$16.73	$27.79	$44.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $10.86 / $70.00	Professional		$9.88	$10.86	$70.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.85 / $34.17 / $35.36	Facility		$25.85	$34.17	$35.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $38.96 / $48.74	Professional		$24.46	$38.96	$48.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $34.11 / $44.37	Professional		$24.02	$34.11	$44.37
United Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $28.05 / $48.97	Professional		$17.68	$28.05	$48.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $18.28 / $18.28	Professional		$14.36	$18.28	$18.28