Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.01 / $17.11 / $77.65	Facility		$10.01	$17.11	$77.65
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 $15.49 / $50.00 / $177.00	Facility		$15.49	$50.00	$177.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $18.25 / $179.00	Professional		$10.63	$18.25	$179.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $14.45 / $25.28	Professional		$8.72	$14.45	$25.28
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 / $16.25	Facility		$11.14	$15.11	$16.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $14.24 / $14.24	Professional		$14.24	$14.24	$14.24
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 Professional Modifier Low / Median / High Price $10.63 / $14.38 / $19.09	Professional		$10.63	$14.38	$19.09
United Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $12.65 / $22.19	Professional		$9.66	$12.65	$22.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $8.03 / $8.03	Professional		$6.35	$8.03	$8.03