Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.43 / $21.90 / $65.34	Facility		$11.43	$21.90	$65.34
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $133.81 / $133.81 / $133.81	Facility	CQ	$133.81	$133.81	$133.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $13.76 / $35.40	Professional		$8.68	$13.76	$35.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.86 / $34.95 / $100.00	Facility		$15.86	$34.95	$100.00
Asuris Northwest Health Facility/Professional Facility Modifier CQ Low / Median / High Price $22.63 / $42.50 / $48.48	Facility	CQ	$22.63	$42.50	$48.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $21.17 / $98.55	Professional		$11.90	$21.17	$98.55
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 $11.32 / $17.36 / $47.00	Professional		$11.32	$17.36	$47.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $14.08 / $23.20 / $39.61	Facility		$14.08	$23.20	$39.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $22.33 / $37.11	Professional		$13.95	$22.33	$37.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $7.38 / $9.05	Professional		$6.39	$7.38	$9.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.25 / $23.45 / $36.72	Facility		$19.25	$23.45	$36.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.86 / $20.97 / $30.99	Facility		$15.86	$20.97	$30.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $22.27 / $30.28	Professional		$16.14	$22.27	$30.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $17.48 / $33.20	Facility		$14.83	$17.48	$33.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.08 / $20.11	Professional		$11.48	$12.08	$20.11
United Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $12.63 / $30.67	Professional		$9.89	$12.63	$30.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $13.06 / $13.06	Professional		$11.84	$13.06	$13.06