Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.37 / $16.73 / $17.47	Facility		$7.37	$16.73	$17.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $7.37 / $12.75	Professional		$4.13	$7.37	$12.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $85.00 / $90.00	Facility		$11.88	$85.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $23.58 / $75.68	Professional		$11.88	$23.58	$75.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $7.15 / $7.15	Professional		$7.15	$7.15	$7.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $9.30 / $18.27 / $23.64	Facility		$9.30	$18.27	$23.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $18.85 / $26.58	Professional		$11.03	$18.85	$26.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.30 / $17.18 / $17.42	Facility		$14.30	$17.18	$17.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.78 / $11.78 / $11.88	Facility		$11.78	$11.78	$11.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $19.78 / $23.58	Professional		$12.56	$19.78	$23.58
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.63 / $9.38	Professional		$5.05	$5.63	$9.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $7.00	Professional		$7.00	$7.00	$7.00