Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $23.15 / $24.17	Facility		$10.19	$23.15	$24.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $10.19 / $17.64	Professional		$5.67	$10.19	$17.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16.45 / $85.00 / $90.00	Facility		$16.45	$85.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $33.13 / $104.78	Professional		$16.68	$33.13	$104.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $9.90 / $9.90	Professional		$9.90	$9.90	$9.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $12.71 / $25.30 / $32.59	Facility		$12.71	$25.30	$32.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $26.10 / $36.76	Professional		$15.27	$26.10	$36.76
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 $15.00 / $23.78 / $24.12	Facility		$15.00	$23.78	$24.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $16.30 / $16.45	Facility		$16.30	$16.30	$16.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $27.39 / $32.65	Professional		$17.38	$27.39	$32.65
United Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $11.69 / $12.99	Professional		$7.14	$11.69	$12.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00