Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $25.81 / $26.95	Facility		$11.37	$25.81	$26.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $11.37 / $26.95	Professional		$6.15	$11.37	$26.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $80.00 / $93.88	Facility		$17.57	$80.00	$93.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16.66 / $17.57 / $147.15	Professional		$16.66	$17.57	$147.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $10.26 / $10.26	Professional		$10.26	$10.26	$10.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16.12 / $26.71 / $39.45	Facility		$16.12	$26.71	$39.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $26.75 / $39.45	Professional		$16.12	$26.75	$39.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $16.91 / $20.07	Professional		$13.84	$16.91	$20.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $19.60 / $22.08	Facility		$15.93	$19.60	$22.08
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $20.07 / $21.07	Professional		$15.93	$20.07	$21.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.66 / $17.57 / $32.50	Facility		$16.66	$17.57	$32.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.66 / $19.60 / $22.54	Professional		$16.66	$19.60	$22.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $17.05 / $20.07	Professional		$16.21	$17.05	$20.07
United Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $10.25 / $16.25	Professional		$8.14	$10.25	$16.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $8.90 / $17.05	Professional		$8.90	$8.90	$17.05