Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.18 / $27.65 / $28.87	Facility		$12.18	$27.65	$28.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $12.18 / $21.07	Professional		$6.59	$12.18	$21.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $85.00 / $90.00	Facility		$19.64	$85.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $39.01 / $125.18	Professional		$19.39	$39.01	$125.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $11.42 / $11.42	Professional		$11.42	$11.42	$11.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $15.19 / $31.17 / $43.93	Facility		$15.19	$31.17	$43.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $31.17 / $43.93	Professional		$18.23	$31.17	$43.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.31 / $10.16 / $30.00	Professional		$8.31	$10.16	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.34 / $26.16 / $28.81	Facility		$18.34	$26.16	$28.81
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $18.34 / $18.34	Professional		$18.34	$18.34	$18.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $19.64	Facility		$19.48	$19.48	$19.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $32.72 / $39.01	Professional		$20.76	$32.72	$39.01
United Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $9.31 / $15.52	Professional		$8.41	$9.31	$15.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $7.35 / $7.35	Professional		$7.35	$7.35	$7.35