Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $9.35 / $21.22	Facility		$9.35	$9.35	$21.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $8.78 / $11.49	Professional		$5.96	$8.78	$11.49
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 $10.00 / $44.55 / $96.08	Professional		$10.00	$44.55	$96.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $9.07	Professional		$9.07	$9.07	$9.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $18.70 / $29.05	Facility		$11.55	$18.70	$29.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $18.64 / $29.15	Professional		$10.64	$18.64	$29.15
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 $18.14 / $21.80 / $60.23	Facility		$18.14	$21.80	$60.23
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $60.23 / $60.23 / $60.23	Professional		$60.23	$60.23	$60.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $24.99 / $30.93	Professional		$15.52	$24.99	$30.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $23.23 / $33.39	Professional		$22.33	$23.23	$33.39
United Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $7.15 / $11.91	Professional		$4.76	$7.15	$11.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $10.52 / $10.52	Professional		$10.52	$10.52	$10.52