Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.72 / $26.60 / $27.78	Facility		$11.72	$26.60	$27.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $11.72 / $27.78	Professional		$7.89	$11.72	$27.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.12 / $92.20 / $92.20	Facility		$18.12	$92.20	$92.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $18.04 / $113.00	Professional		$14.00	$18.04	$113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $12.44 / $12.44	Facility		$8.94	$12.44	$12.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $10.57 / $16.09	Professional		$10.57	$10.57	$16.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $21.93 / $38.11	Facility		$16.55	$21.93	$38.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $22.91 / $38.11	Professional		$16.55	$22.91	$38.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $15.88 / $17.46	Professional		$14.29	$15.88	$17.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.98 / $17.18 / $20.70	Facility		$13.98	$17.18	$20.70
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $17.60 / $20.70	Professional		$15.84	$17.60	$20.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.18 / $18.12 / $33.51	Facility		$17.18	$18.12	$33.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.18 / $19.60 / $29.75	Professional		$17.18	$19.60	$29.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $17.60 / $21.74	Professional		$16.46	$17.60	$21.74
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $8.80 / $16.75	Professional		$8.11	$8.80	$16.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $9.35	Professional		$4.79	$4.79	$9.35