Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $14.22 / $14.22	Facility		$14.22	$14.22	$14.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $14.22 / $18.07	Professional		$11.58	$14.22	$18.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $70.00 / $70.00	Facility		$15.00	$70.00	$70.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $14.50 / $41.00	Professional		$4.41	$14.50	$41.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $12.36 / $18.00	Professional		$5.89	$12.36	$18.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5.44 / $6.94 / $139.88	Facility		$5.44	$6.94	$139.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $6.25 / $7.46	Professional		$4.76	$6.25	$7.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $13.38 / $25.02	Professional		$9.86	$13.38	$25.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.77 / $19.62 / $19.62	Facility		$11.77	$19.62	$19.62
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $17.10 / $17.10	Professional		$17.10	$17.10	$17.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Facility		$15.00	$15.00	$15.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.79 / $63.79 / $97.86	Facility		$63.79	$63.79	$97.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $14.50 / $14.50	Professional		$14.50	$14.50	$14.50
United Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $9.31 / $13.85	Professional		$5.88	$9.31	$13.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $5.01 / $7.50	Professional		$4.29	$5.01	$7.50