Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $29.44 / $41.35	Facility		$21.42	$29.44	$41.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $16.80 / $38.26	Professional		$13.08	$16.80	$38.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $75.68 / $105.00 / $105.00	Facility		$75.68	$105.00	$105.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $35.31 / $139.65	Professional		$21.06	$35.31	$139.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $25.95 / $50.01	Professional		$15.72	$25.95	$50.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $24.75 / $36.68	Facility		$15.00	$24.75	$36.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $23.43 / $37.86	Professional		$13.95	$23.43	$37.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $10.46 / $70.00	Professional		$9.51	$10.46	$70.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.11 / $28.81 / $33.50	Facility		$21.11	$28.81	$33.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $37.42 / $46.87	Professional		$23.21	$37.42	$46.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $32.52 / $41.00	Professional		$23.10	$32.52	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $22.79 / $42.50	Professional		$14.88	$22.79	$42.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.60 / $17.60	Professional		$13.80	$17.60	$17.60