Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.88 / $31.51 / $32.90	Facility		$13.88	$31.51	$32.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $13.88 / $24.01	Professional		$7.51	$13.88	$24.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $35.69 / $85.00 / $157.46	Facility		$35.69	$85.00	$157.46
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $35.27 / $159.56 / $188.96	Professional		$35.27	$159.56	$188.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $13.47 / $13.47	Professional		$13.47	$13.47	$13.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $17.36 / $35.21 / $44.12	Facility		$17.36	$35.21	$44.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $36.25 / $46.34	Professional		$17.50	$36.25	$46.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $6.67 / $50.00	Professional		$3.71	$6.67	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $29.81 / $32.83	Facility		$3.80	$29.81	$32.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Professional		$3.80	$3.80	$3.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.85 / $34.85 / $35.69	Facility		$34.85	$34.85	$35.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.33 / $37.79 / $37.79	Professional		$32.33	$37.79	$37.79
United Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $10.61 / $17.68	Professional		$9.51	$10.61	$17.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $4.78	Professional		$4.78	$4.78	$4.78