Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $26.99 / $28.18	Facility		$11.89	$26.99	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $11.89 / $28.47	Professional		$9.02	$11.89	$28.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.37 / $98.56 / $98.56	Facility		$18.37	$98.56	$98.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $18.53 / $104.48	Professional		$15.00	$18.53	$104.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $13.91 / $13.91	Facility		$13.52	$13.91	$13.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $11.82 / $14.83	Professional		$8.56	$11.82	$14.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $12.29 / $21.22 / $36.24	Facility		$12.29	$21.22	$36.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $21.40 / $38.06	Professional		$12.40	$21.40	$38.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $16.09 / $17.69	Professional		$14.48	$16.09	$17.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $20.49 / $20.98	Facility		$18.80	$20.49	$20.98
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $20.98 / $20.98	Professional		$18.34	$20.98	$20.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.42 / $18.37 / $33.97	Facility		$17.42	$18.37	$33.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $19.88 / $30.15	Professional		$17.42	$19.88	$30.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $17.82 / $23.08	Professional		$16.67	$17.82	$23.08
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $8.90 / $16.97	Professional		$8.23	$8.90	$16.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $12.30 / $12.30	Professional		$10.51	$12.30	$12.30