Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $16.14 / $57.06	Facility		$13.76	$16.14	$57.06
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $12.72 / $31.14 / $62.04	Facility	CQ	$12.72	$31.14	$62.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $13.77 / $47.00	Professional		$8.48	$13.77	$47.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $39.84 / $100.00	Facility		$19.03	$39.84	$100.00
Asuris Northwest Health Facility/Professional Facility Modifier CQ Low / Median / High Price $26.96 / $42.50 / $55.33	Facility	CQ	$26.96	$42.50	$55.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $24.44 / $118.20	Professional		$13.80	$24.44	$118.20
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 $11.89 / $43.33 / $104.88	Professional		$11.89	$43.33	$104.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11.78 / $16.84 / $33.86	Facility		$11.78	$16.84	$33.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $16.84 / $32.29	Professional		$11.78	$16.84	$32.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $9.03 / $11.08	Professional		$7.56	$9.03	$11.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.44 / $24.12 / $28.14	Facility		$17.44	$24.12	$28.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $25.20 / $37.24	Facility		$19.03	$25.20	$37.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $26.72 / $36.09	Professional		$19.38	$26.72	$36.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.03 / $20.97 / $34.67	Facility		$18.03	$20.97	$34.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $14.49 / $24.14	Professional		$13.77	$14.49	$24.14
United Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $14.80 / $36.17	Professional		$11.82	$14.80	$36.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $15.65 / $15.65	Professional		$14.16	$15.65	$15.65