Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.01 / $22.14 / $22,024.00	Facility		$10.01	$22.14	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $10.01 / $22.14	Professional		$7.68	$10.01	$22.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $270.73 / $571.58	Facility		$17.98	$270.73	$571.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $18.25 / $382.94	Professional		$10.63	$18.25	$382.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $15.08 / $25.28	Professional		$8.65	$15.08	$25.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $142.59 / $217.65 / $685.41	Facility		$142.59	$217.65	$685.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $21.94 / $21.94	Professional		$21.94	$21.94	$21.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.14 / $15.11 / $17.69	Facility		$11.14	$15.11	$17.69
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $13.37 / $13.37	Professional		$13.37	$13.37	$13.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.42 / $10.42 / $10.51	Facility		$10.42	$10.42	$10.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $17.21 / $20.86	Professional		$11.82	$17.21	$20.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $287.05 / $442.67 / $846.77	Facility		$287.05	$442.67	$846.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $14.47 / $19.09	Professional		$10.63	$14.47	$19.09
United Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $13.77 / $22.73	Professional		$9.66	$13.77	$22.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $8.03 / $8.03	Professional		$6.35	$8.03	$8.03