Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.22 / $21.31 / $48.43	Professional		$17.22	$21.31	$48.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $32.88 / $137.93	Professional		$18.45	$32.88	$137.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $29.60 / $54.39	Professional		$17.68	$29.60	$54.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $22.31 / $40.18	Professional		$15.19	$22.31	$40.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $16.00 / $17.25	Professional		$12.06	$16.00	$17.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $28.85 / $41.76	Professional		$14.43	$28.85	$41.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $29.40 / $39.59	Professional		$21.71	$29.40	$39.59
United Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $25.97 / $45.54	Professional		$19.32	$25.97	$45.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $18.13 / $18.13	Professional		$13.53	$18.13	$18.13