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 $9.46 / $13.58 / $32.18	Professional		$9.46	$13.58	$32.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $117.09 / $117.09	Facility		$20.99	$117.09	$117.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $21.39 / $163.22	Professional		$17.09	$21.39	$163.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.70 / $15.54 / $15.54	Facility		$13.70	$15.54	$15.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $13.21 / $18.29	Professional		$10.56	$13.21	$18.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $21.22 / $27.25 / $47.99	Facility		$21.22	$27.25	$47.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $28.51 / $47.99	Professional		$21.22	$28.51	$47.99
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 $17.48 / $21.48 / $23.97	Facility		$17.48	$21.48	$23.97
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $23.26 / $24.20	Professional		$19.23	$23.26	$24.20
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 / $36.27	Professional		$19.89	$22.71	$36.27
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 Facility Modifier Low / Median / High Price $9.31 / $9.97 / $11.78	Facility		$9.31	$9.97	$11.78
United Facility/Professional Professional Modifier Low / Median / High Price $10.15 / $10.97 / $20.94	Professional		$10.15	$10.97	$20.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $11.15 / $11.15	Professional		$11.11	$11.15	$11.15