Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.37 / $7.37 / $16.73	Facility		$7.37	$7.37	$16.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.70 / $6.93 / $9.05	Professional		$4.70	$6.93	$9.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $90.00 / $90.00	Facility		$75.00	$90.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $30.64 / $75.68	Professional		$10.71	$30.64	$75.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $21.36 / $21.36	Professional		$21.36	$21.36	$21.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $9.10 / $14.73 / $22.89	Facility		$9.10	$14.73	$22.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $14.71 / $23.03	Professional		$8.44	$14.71	$23.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $93.50	Professional		$85.00	$85.00	$93.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.30 / $17.18 / $29.76	Facility		$14.30	$17.18	$29.76
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $29.76 / $29.76	Professional		$29.76	$29.76	$29.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $19.48 / $23.88	Professional		$12.23	$19.48	$23.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $18.30 / $26.30	Professional		$17.59	$18.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $5.63 / $9.74	Professional		$3.75	$5.63	$9.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $22.13 / $22.13	Professional		$22.13	$22.13	$22.13