Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $37.77 / $39.44	Facility		$16.64	$37.77	$39.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $16.64 / $39.44	Professional		$9.00	$16.64	$39.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $25.72 / $80.00 / $138.01	Facility		$25.72	$80.00	$138.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $25.72 / $215.18	Professional		$24.39	$25.72	$215.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $32.63 / $55.73	Facility		$17.48	$32.63	$55.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $32.77 / $56.47	Professional		$17.67	$32.77	$56.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.25 / $24.76 / $31.51	Professional		$20.25	$24.76	$31.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.31 / $28.69 / $32.32	Facility		$23.31	$28.69	$32.32
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $29.38 / $29.38	Professional		$24.97	$29.38	$29.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $25.72 / $47.57	Facility		$24.39	$25.72	$47.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $28.69 / $32.99	Professional		$24.39	$28.69	$32.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.72 / $24.97 / $29.38	Professional		$23.72	$24.97	$29.38
United Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $14.63 / $23.77	Professional		$11.72	$14.63	$23.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $13.03 / $24.97	Professional		$13.03	$13.03	$24.97