Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $19.25 / $62.55	Facility		$12.83	$19.25	$62.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.19 / $40.70	Professional		$9.33	$13.19	$40.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $50.00 / $100.00	Facility		$15.89	$50.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $22.39 / $104.40	Professional		$12.47	$22.39	$104.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $108.00 / $118.00	Facility		$90.00	$108.00	$118.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $40.00 / $104.88	Professional		$13.80	$40.00	$104.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $13.64 / $19.13 / $33.67	Facility		$13.64	$19.13	$33.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $19.62 / $33.67	Professional		$13.50	$19.62	$33.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $9.35 / $19.44	Professional		$7.09	$9.35	$19.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $24.79 / $30.15	Facility		$20.35	$24.79	$30.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.47 / $16.76 / $16.76	Facility		$12.47	$16.76	$16.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $23.54 / $30.99	Professional		$17.07	$23.54	$30.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.68 / $18.48 / $35.11	Facility		$15.68	$18.48	$35.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $12.77 / $21.27	Professional		$12.13	$12.77	$21.27
United Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $14.80 / $35.72	Professional		$10.45	$14.80	$35.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $13.85 / $13.85	Professional		$12.51	$13.85	$13.85