Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.18 / $34.46 / $35.97	Facility		$15.18	$34.46	$35.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $15.18 / $35.97	Professional		$8.21	$15.18	$35.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $23.46 / $80.00 / $125.85	Facility		$23.46	$80.00	$125.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $22.24 / $23.46 / $196.20	Professional		$22.24	$23.46	$196.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $12.04 / $12.04	Professional		$10.93	$12.04	$12.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $29.90 / $51.45	Facility		$16.10	$29.90	$51.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $29.98 / $52.00	Professional		$16.12	$29.98	$52.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $22.59 / $60.00	Professional		$18.48	$22.59	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.28 / $26.16 / $29.47	Facility		$21.28	$26.16	$29.47
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $26.79 / $26.79	Professional		$24.11	$26.79	$26.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.24 / $23.46 / $43.37	Facility		$22.24	$23.46	$43.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.24 / $26.16 / $30.08	Professional		$22.24	$26.16	$30.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $22.77 / $26.79	Professional		$21.63	$22.77	$26.79
United Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $13.37 / $21.68	Professional		$10.81	$13.37	$21.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $11.90 / $22.77	Professional		$11.90	$11.90	$22.77