Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.77 / $27.30 / $37.40	Facility		$15.77	$27.30	$37.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $15.78 / $37.40	Professional		$8.52	$15.78	$37.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $24.38 / $80.00 / $130.99	Facility		$24.38	$80.00	$130.99
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $23.11 / $24.38 / $203.93	Professional		$23.11	$24.38	$203.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $14.22	Professional		$14.22	$14.22	$14.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $37.96 / $54.69	Facility		$22.91	$37.96	$54.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.02 / $54.69	Professional		$22.91	$38.02	$54.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $23.48 / $23.48	Professional		$19.21	$23.48	$23.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $27.19 / $30.62	Facility		$22.10	$27.19	$30.62
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $27.84 / $27.84	Professional		$22.12	$27.84	$27.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.11 / $24.38 / $45.08	Facility		$23.11	$24.38	$45.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.11 / $27.19 / $31.27	Professional		$23.11	$27.19	$31.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $23.66 / $27.84	Professional		$22.48	$23.66	$27.84
United Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $14.20 / $22.53	Professional		$11.24	$14.20	$22.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $12.35 / $23.66	Professional		$12.35	$12.35	$23.66