Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $17.42 / $31.56	Facility		$15.00	$17.42	$31.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $14.91 / $17.42	Professional		$11.87	$14.91	$17.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $24.14 / $67.65 / $100.00	Facility		$24.14	$67.65	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16.47 / $22.59 / $163.80	Professional		$16.47	$22.59	$163.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.63 / $55.57 / $111.17	Professional		$15.63	$55.57	$111.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $26.70 / $48.42	Facility		$15.33	$26.70	$48.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $24.95 / $47.55	Professional		$15.19	$24.95	$47.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $12.00 / $23.83	Professional		$8.21	$12.00	$23.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.06 / $37.36 / $38.19	Facility		$25.06	$37.36	$38.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.71 / $28.46 / $45.61	Facility		$23.71	$28.46	$45.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $18.78 / $30.74	Professional		$17.94	$18.78	$30.74
United Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $7.73 / $40.00	Professional		$7.73	$7.73	$40.00