Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $28.78 / $271.86	Facility		$12.68	$28.78	$271.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $12.68 / $28.78	Professional		$6.31	$12.68	$28.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.59 / $101.60 / $101.60	Facility		$19.59	$101.60	$101.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $19.59 / $110.70	Professional		$14.86	$19.59	$110.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.66 / $13.44 / $13.44	Facility		$9.66	$13.44	$13.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $11.42 / $16.53	Professional		$11.42	$11.42	$16.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $23.43 / $40.93	Facility		$18.23	$23.43	$40.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $24.95 / $40.93	Professional		$18.23	$24.95	$40.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $17.14 / $18.86	Professional		$15.43	$17.14	$18.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $19.26 / $22.36	Facility		$17.76	$19.26	$22.36
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $22.36 / $22.36	Professional		$19.01	$22.36	$22.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $19.59 / $36.21	Facility		$18.55	$19.59	$36.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $21.18 / $32.15	Professional		$18.55	$21.18	$32.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $19.01 / $24.60	Professional		$17.77	$19.01	$24.60
United Facility/Professional Facility Modifier Low / Median / High Price $8.03 / $8.61 / $10.19	Facility		$8.03	$8.61	$10.19
United Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $9.49 / $18.10	Professional		$8.77	$9.49	$18.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $10.09	Professional		$5.73	$5.73	$10.09