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 $9.31 / $14.98 / $34.00	Professional		$9.31	$14.98	$34.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $23.20 / $75.00 / $119.43	Facility		$23.20	$75.00	$119.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $23.35 / $183.45	Professional		$21.31	$23.35	$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 $21.59 / $39.36 / $59.16	Facility		$21.59	$39.36	$59.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $39.36 / $61.39	Professional		$23.76	$39.36	$61.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $23.60 / $34.03	Professional		$21.24	$23.60	$34.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.69 / $25.19 / $28.97	Facility		$24.69	$25.19	$28.97
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 $11.64 / $15.11 / $25.28	Professional		$11.64	$15.11	$25.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $12.80 / $21.41	Professional		$12.80	$12.80	$21.41