Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.98 / $34.00 / $35.50	Facility		$14.98	$34.00	$35.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $14.98 / $35.50	Professional		$9.28	$14.98	$35.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $23.20 / $80.00 / $120.00	Facility		$23.20	$80.00	$120.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $23.66 / $183.45	Professional		$21.31	$23.66	$183.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $15.09 / $15.09	Professional		$15.09	$15.09	$15.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $17.63 / $33.75 / $56.49	Facility		$17.63	$33.75	$56.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $34.65 / $59.16	Professional		$18.67	$34.65	$59.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $25.96 / $26.74	Professional		$21.24	$25.96	$26.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.69 / $25.19 / $28.15	Facility		$24.69	$25.19	$28.15
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $25.19 / $28.15	Professional		$24.69	$25.19	$28.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.79 / $23.20 / $40.54	Facility		$20.79	$23.20	$40.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $24.46 / $28.13	Professional		$20.79	$24.46	$28.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $21.41 / $25.19	Professional		$20.34	$21.41	$25.19
United Facility/Professional Professional Modifier Low / Median / High Price $12.82 / $15.45 / $25.28	Professional		$12.82	$15.45	$25.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $13.76 / $21.41	Professional		$13.76	$13.76	$21.41