Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $30.83 / $32.18	Facility		$13.58	$30.83	$32.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $13.58 / $32.18	Professional		$9.21	$13.58	$32.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $113.07 / $113.07	Facility		$20.99	$113.07	$113.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $21.39 / $143.78	Professional		$17.00	$21.39	$143.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $15.15 / $15.15	Facility		$12.09	$15.15	$15.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $17.82	Professional		$12.88	$12.88	$17.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20.79 / $26.30 / $45.87	Facility		$20.79	$26.30	$45.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $28.00 / $45.87	Professional		$20.79	$28.00	$45.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $18.38 / $20.21	Professional		$16.54	$18.38	$20.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $20.92 / $23.56	Facility		$17.00	$20.92	$23.56
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $21.57 / $23.97	Professional		$18.72	$21.57	$23.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.89 / $20.99 / $38.81	Facility		$19.89	$20.99	$38.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $22.71 / $34.46	Professional		$19.89	$22.71	$34.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $20.37 / $25.17	Professional		$19.05	$20.37	$25.17
United Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $10.70 / $20.39	Professional		$10.06	$10.70	$20.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $16.96 / $16.96	Professional		$10.73	$16.96	$16.96