Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $15.02 / $34.10	Facility		$15.02	$15.02	$34.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $14.12 / $18.45	Professional		$9.57	$14.12	$18.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $93.80 / $93.80	Facility		$75.00	$93.80	$93.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $68.00 / $154.28	Professional		$18.36	$68.00	$154.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $14.57 / $14.57	Professional		$14.57	$14.57	$14.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $29.92 / $46.30	Facility		$17.55	$29.92	$46.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $29.43 / $47.54	Professional		$17.07	$29.43	$47.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $75.00	Professional		$30.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.15 / $35.01 / $41.54	Facility		$29.15	$35.01	$41.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $41.54 / $41.54 / $41.54	Professional		$41.54	$41.54	$41.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $40.14 / $49.68	Professional		$24.93	$40.14	$49.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $37.31 / $53.61	Professional		$35.86	$37.31	$53.61
United Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $11.48 / $19.48	Professional		$7.65	$11.48	$19.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.83 / $27.83 / $27.83	Professional		$27.83	$27.83	$27.83