Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $32.79	Facility		$14.45	$14.45	$32.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $13.59 / $17.75	Professional		$9.21	$13.59	$17.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $90.29 / $90.29	Facility		$75.00	$90.29	$90.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $51.27 / $148.43	Professional		$15.28	$51.27	$148.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.02 / $14.02	Professional		$13.49	$14.02	$14.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $28.45 / $44.59	Facility		$16.89	$28.45	$44.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $28.34 / $45.70	Professional		$16.27	$28.34	$45.70
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 $27.04 / $31.03 / $34.17	Facility		$27.04	$31.03	$34.17
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $27.04 / $27.04 / $27.04	Professional		$27.04	$27.04	$27.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.61 / $47.80	Professional		$23.99	$38.61	$47.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.51 / $35.90 / $51.59	Professional		$34.51	$35.90	$51.59
United Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $11.05 / $18.41	Professional		$7.36	$11.05	$18.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $3.61 / $3.61	Professional		$3.61	$3.61	$3.61