Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $35.86 / $37.45	Facility		$15.80	$35.86	$37.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $15.80 / $64.00	Professional		$8.82	$15.80	$64.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.26 / $122.76 / $122.76	Facility		$18.26	$122.76	$122.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $24.62 / $150.47	Professional		$18.29	$24.62	$150.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $17.55 / $17.55	Facility		$17.55	$17.55	$17.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $12.25 / $23.24	Professional		$12.25	$12.25	$23.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $28.43 / $51.22	Facility		$17.76	$28.43	$51.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $29.53 / $53.78	Professional		$17.98	$29.53	$53.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $27.22 / $30.65	Professional		$24.49	$27.22	$30.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.08 / $27.87 / $28.87	Facility		$25.08	$27.87	$28.87
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $22.15 / $24.37 / $24.37	Professional		$22.15	$24.37	$24.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.26 / $18.26 / $60.00	Facility		$18.26	$18.26	$60.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.26 / $24.62 / $60.00	Professional		$18.26	$24.62	$60.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.15 / $23.69 / $30.66	Professional		$22.15	$23.69	$30.66
United Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $13.74 / $24.30	Professional		$11.78	$13.74	$24.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $14.44 / $14.44	Professional		$12.46	$14.44	$14.44