Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.51 / $14.47 / $578.24	Facility		$9.51	$14.47	$578.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.16 / $7.73 / $18.91	Professional		$5.16	$7.73	$18.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $59.88 / $226.00 / $478.25	Facility		$59.88	$226.00	$478.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $15.05 / $426.01	Professional		$6.93	$15.05	$426.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $22.91 / $27.58	Professional		$15.92	$22.91	$27.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5.44 / $12.41 / $42.19	Facility		$5.44	$12.41	$42.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $10.08 / $24.52	Professional		$5.27	$10.08	$24.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.69 / $50.00	Professional		$3.02	$3.69	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.27 / $9.91 / $30.13	Facility		$7.27	$9.91	$30.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.77 / $7.77 / $7.77	Facility		$7.77	$7.77	$7.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $7.77 / $7.77	Professional		$7.77	$7.77	$7.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $234.74 / $361.80 / $692.47	Facility		$234.74	$361.80	$692.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $10.01 / $14.02	Professional		$6.93	$10.01	$14.02
United Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $9.80 / $23.00	Professional		$5.94	$9.80	$23.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $6.59 / $6.59	Professional		$4.69	$6.59	$6.59