Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.59 / $30.85 / $32.21	Facility		$13.59	$30.85	$32.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $13.59 / $32.57	Professional		$10.32	$13.59	$32.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.01 / $112.69 / $112.69	Facility		$21.01	$112.69	$112.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $21.19 / $119.47	Professional		$17.00	$21.19	$119.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.46 / $15.93 / $15.93	Facility		$15.46	$15.93	$15.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $13.54 / $15.93	Professional		$9.78	$13.54	$15.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $24.47 / $41.76	Facility		$14.12	$24.47	$41.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $24.93 / $43.85	Professional		$14.57	$24.93	$43.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $18.39 / $20.23	Professional		$16.55	$18.39	$20.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.51 / $23.43 / $23.99	Facility		$21.51	$23.43	$23.99
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $20.98 / $23.99 / $26.39	Professional		$20.98	$23.99	$26.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.92 / $21.01 / $38.85	Facility		$19.92	$21.01	$38.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $22.73 / $34.49	Professional		$19.92	$22.73	$34.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $20.39 / $26.39	Professional		$19.07	$20.39	$26.39
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.18 / $19.41	Professional		$9.33	$10.18	$19.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $14.06 / $14.06	Professional		$12.03	$14.06	$14.06