Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $18.50 / $19.32	Facility		$8.15	$18.50	$19.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $8.15 / $19.32	Professional		$4.40	$8.15	$19.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $80.00 / $80.00	Facility		$12.59	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $12.59 / $105.38	Professional		$11.94	$12.59	$105.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $7.34 / $7.34	Professional		$7.34	$7.34	$7.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $18.98 / $28.04	Facility		$11.45	$18.98	$28.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $19.01 / $28.04	Professional		$11.45	$19.01	$28.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $12.12 / $12.12	Professional		$9.91	$12.12	$12.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.41 / $14.05 / $15.83	Facility		$11.41	$14.05	$15.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $14.39 / $14.39	Professional		$12.56	$14.39	$14.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.94 / $12.59 / $23.29	Facility		$11.94	$12.59	$23.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $14.05 / $16.16	Professional		$11.94	$14.05	$16.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $12.23 / $14.39	Professional		$11.62	$12.23	$14.39
United Facility/Professional Professional Modifier Low / Median / High Price $5.74 / $7.16 / $11.64	Professional		$5.74	$7.16	$11.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $6.38 / $12.23	Professional		$6.38	$6.38	$12.23