Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $9.94 / $10.38	Facility		$4.38	$9.94	$10.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $4.38 / $7.58	Professional		$4.12	$4.38	$7.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $23.46 / $75.00 / $115.97	Facility		$23.46	$75.00	$115.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $22.24 / $22.77 / $173.40	Professional		$22.24	$22.77	$173.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $13.56 / $13.56	Professional		$13.56	$13.56	$13.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.13 / $42.77 / $57.57	Facility		$22.13	$42.77	$57.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $43.66 / $58.22	Professional		$24.19	$43.66	$58.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $26.16 / $36.62	Professional		$21.43	$26.16	$36.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.24 / $24.11 / $26.79	Facility		$22.24	$24.11	$26.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.24 / $23.46 / $43.37	Facility		$22.24	$23.46	$43.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.24 / $26.16 / $30.08	Professional		$22.24	$26.16	$30.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $22.77 / $25.05	Professional		$21.63	$22.77	$25.05
United Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $13.34 / $21.68	Professional		$11.96	$13.34	$21.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $14.47 / $22.77	Professional		$14.47	$14.47	$22.77