Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.10 / $22.93 / $23.94	Facility		$10.10	$22.93	$23.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $10.10 / $23.94	Professional		$5.46	$10.10	$23.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16.97 / $27.86 / $83.77	Facility		$16.97	$27.86	$83.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $15.61 / $130.58	Professional		$14.80	$15.61	$130.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $7.28 / $7.28	Professional		$7.28	$7.28	$7.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $19.39 / $32.46	Facility		$10.54	$19.39	$32.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $19.85 / $34.18	Professional		$10.54	$19.85	$34.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $30.00 / $60.00	Professional		$17.82	$30.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.35 / $17.41 / $19.61	Facility		$15.35	$17.41	$19.61
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $15.58 / $15.58	Professional		$15.58	$15.58	$15.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $31.22 / $46.31	Facility		$15.61	$31.22	$46.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $17.41 / $20.02	Professional		$14.80	$17.41	$20.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.97 / $17.41 / $17.41	Facility		$16.97	$17.41	$17.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $15.16 / $17.82	Professional		$14.40	$15.16	$17.82
United Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $8.89 / $14.42	Professional		$7.19	$8.89	$14.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $6.50 / $15.16	Professional		$6.50	$6.50	$15.16