Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.53 / $19.39 / $20.23	Facility		$8.53	$19.39	$20.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $8.53 / $14.77	Professional		$5.86	$8.53	$14.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13.20 / $80.00 / $80.00	Facility		$13.20	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $13.20 / $74.59	Professional		$10.55	$13.20	$74.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $9.05 / $9.05	Facility		$9.05	$9.05	$9.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $7.69 / $11.18	Professional		$7.69	$7.69	$11.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $15.80 / $27.52	Facility		$12.30	$15.80	$27.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.80 / $27.52	Professional		$12.30	$16.80	$27.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $11.56 / $12.71	Professional		$10.40	$11.56	$12.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.50 / $14.15 / $15.07	Facility		$11.50	$14.15	$15.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $13.63 / $15.07	Professional		$11.98	$13.63	$15.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $13.20 / $24.41	Facility		$12.51	$13.20	$24.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $13.63 / $21.67	Professional		$12.51	$13.63	$21.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $12.81 / $15.94	Professional		$11.98	$12.81	$15.94
United Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $6.90 / $12.20	Professional		$5.91	$6.90	$12.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $8.94 / $8.94	Professional		$6.80	$8.94	$8.94