Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.31 / $30.21 / $31.54	Facility		$13.31	$30.21	$31.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $13.31 / $31.54	Professional		$7.20	$13.31	$31.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20.58 / $80.00 / $110.59	Facility		$20.58	$80.00	$110.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $20.58 / $172.13	Professional		$19.51	$20.58	$172.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $31.63 / $46.99	Facility		$19.09	$31.63	$46.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $31.68 / $46.62	Professional		$19.09	$31.68	$46.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $19.81 / $19.81	Professional		$16.20	$19.81	$19.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $22.95 / $25.85	Facility		$18.64	$22.95	$25.85
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $23.50 / $23.50	Professional		$18.64	$23.50	$23.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.51 / $20.58 / $38.04	Facility		$19.51	$20.58	$38.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $22.95 / $26.39	Professional		$19.51	$22.95	$26.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $19.98 / $23.50	Professional		$18.98	$19.98	$23.50
United Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $12.46 / $19.01	Professional		$9.48	$12.46	$19.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $10.43 / $19.97	Professional		$10.43	$10.43	$19.97