Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.57 / $48.96 / $51.12	Facility		$21.57	$48.96	$51.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $21.57 / $51.12	Professional		$11.66	$21.57	$51.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $80.00 / $179.15	Facility		$33.34	$80.00	$179.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $33.34 / $278.85	Professional		$31.60	$33.34	$278.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $19.44 / $19.44	Professional		$19.44	$19.44	$19.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $51.31 / $75.04	Facility		$30.98	$51.31	$75.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $51.40 / $75.04	Professional		$30.98	$51.40	$75.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.27 / $32.10 / $32.10	Professional		$26.27	$32.10	$32.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $37.18 / $41.88	Facility		$30.23	$37.18	$41.88
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.07 / $38.07	Professional		$32.36	$38.07	$38.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.60 / $33.34 / $61.64	Facility		$31.60	$33.34	$61.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $37.18 / $42.76	Professional		$31.60	$37.18	$42.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $32.36 / $38.07	Professional		$30.74	$32.36	$38.07
United Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $24.32 / $30.80	Professional		$15.37	$24.32	$30.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $16.89 / $32.36	Professional		$16.89	$16.89	$32.36