Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $40.54 / $42.33	Facility		$17.86	$40.54	$42.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $17.86 / $30.90	Professional		$13.56	$17.86	$30.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $27.61 / $146.94 / $146.94	Facility		$27.61	$146.94	$146.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $27.61 / $155.82	Professional		$21.89	$27.61	$155.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $18.95 / $18.95	Facility		$18.95	$18.95	$18.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $16.11 / $23.40	Professional		$16.11	$16.11	$23.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $25.88 / $33.40 / $57.87	Facility		$25.88	$33.40	$57.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $35.13 / $57.87	Professional		$25.88	$35.13	$57.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $24.18 / $26.59	Professional		$21.76	$24.18	$26.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.05 / $30.79 / $31.53	Facility		$25.05	$30.79	$31.53
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $31.53 / $31.53	Professional		$27.57	$31.53	$31.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.17 / $27.61 / $51.05	Facility		$26.17	$27.61	$51.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $29.87 / $45.32	Professional		$26.17	$29.87	$45.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $26.80 / $34.68	Professional		$25.06	$26.80	$34.68
United Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $13.37 / $25.51	Professional		$12.37	$13.37	$25.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $7.18 / $16.45	Professional		$7.18	$7.18	$16.45