Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.25 / $52.78 / $55.10	Facility		$23.25	$52.78	$55.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $23.25 / $55.10	Professional		$12.57	$23.25	$55.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $35.93 / $83.31 / $193.10	Facility		$35.93	$83.31	$193.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $35.93 / $300.60	Professional		$34.07	$35.93	$300.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $20.95 / $20.95	Professional		$20.95	$20.95	$20.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $33.52 / $55.53 / $80.34	Facility		$33.52	$55.53	$80.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $55.57 / $80.34	Professional		$33.52	$55.57	$80.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $34.60 / $34.60	Professional		$28.31	$34.60	$34.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.58 / $40.08 / $45.14	Facility		$32.58	$40.08	$45.14
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $41.04 / $47.20	Professional		$35.86	$41.04	$47.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.07 / $35.93 / $66.45	Facility		$34.07	$35.93	$66.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $40.08 / $46.09	Professional		$34.07	$40.08	$46.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $34.88 / $41.04	Professional		$33.14	$34.88	$41.04
United Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $20.93 / $33.20	Professional		$16.38	$20.93	$33.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.21 / $18.21 / $34.88	Professional		$18.21	$18.21	$34.88