Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.94 / $24.83 / $25.93	Facility		$10.94	$24.83	$25.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $10.94 / $25.93	Professional		$9.52	$10.94	$25.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $102.21 / $102.21	Facility		$16.91	$102.21	$102.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $16.91 / $110.31	Professional		$14.10	$16.91	$110.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.92 / $13.30 / $13.30	Facility		$11.92	$13.30	$13.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $11.31 / $16.32	Professional		$11.31	$11.31	$16.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $22.28 / $40.93	Facility		$17.38	$22.28	$40.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $24.15 / $40.93	Professional		$17.38	$24.15	$40.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $19.30 / $75.00	Professional		$19.30	$19.30	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.95 / $18.39 / $20.47	Facility		$14.95	$18.39	$20.47
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $18.82 / $20.47	Professional		$17.38	$18.82	$20.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $16.91 / $31.27	Facility		$16.03	$16.91	$31.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $18.29 / $27.75	Professional		$16.03	$18.29	$27.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $16.41 / $20.71	Professional		$15.34	$16.41	$20.71
United Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $8.61 / $10.08	Facility		$0.15	$8.61	$10.08
United Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $9.41 / $17.92	Professional		$8.69	$9.41	$17.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $11.03 / $11.03	Professional		$10.11	$11.03	$11.03