Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $19.19 / $19.19	Facility		$19.19	$19.19	$19.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $19.47 / $24.37	Professional		$16.14	$19.47	$24.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $137.78 / $137.78	Facility		$39.47	$137.78	$137.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $9.50 / $175.20	Professional		$9.50	$9.50	$175.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $22.00 / $27.00	Professional		$13.60	$22.00	$27.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6.25 / $26.84 / $139.88	Facility		$6.25	$26.84	$139.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $6.88 / $34.68	Professional		$6.25	$6.88	$34.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $11.08 / $21.10	Professional		$8.21	$11.08	$21.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.45 / $12.41 / $12.41	Facility		$7.45	$12.41	$12.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $39.47 / $39.47	Facility		$39.47	$39.47	$39.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $39.47 / $39.47	Professional		$39.47	$39.47	$39.47
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 $9.50 / $9.50 / $9.50	Professional		$9.50	$9.50	$9.50
United Facility/Professional Professional Modifier Low / Median / High Price $24.68 / $40.21 / $61.26	Professional		$24.68	$40.21	$61.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $6.95 / $6.95	Professional		$6.95	$6.95	$6.95