Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.26 / $18.75 / $19.57	Facility		$8.26	$18.75	$19.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $8.26 / $18.73	Professional		$4.47	$8.26	$18.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12.77 / $80.00 / $80.00	Facility		$12.77	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $12.77 / $106.80	Professional		$12.10	$12.77	$106.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $5.95 / $5.95	Professional		$5.70	$5.95	$5.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $19.68 / $28.69	Facility		$11.88	$19.68	$28.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $19.71 / $28.69	Professional		$11.88	$19.71	$28.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $12.29 / $12.29	Professional		$10.06	$12.29	$12.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.95 / $13.48 / $14.58	Facility		$10.95	$13.48	$14.58
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $13.80 / $14.58	Professional		$13.12	$13.80	$14.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $12.77 / $23.61	Facility		$12.10	$12.77	$23.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $14.24 / $16.38	Professional		$12.10	$14.24	$16.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $12.39 / $14.58	Professional		$11.77	$12.39	$14.58
United Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $11.66 / $11.66	Facility		$11.66	$11.66	$11.66
United Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $7.28 / $11.80	Professional		$5.83	$7.28	$11.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.68 / $5.68 / $12.39	Professional		$5.68	$5.68	$12.39