Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $40.97 / $42.78	Facility		$18.05	$40.97	$42.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $18.05 / $42.78	Professional		$9.75	$18.05	$42.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $27.89 / $80.00 / $149.90	Facility		$27.89	$80.00	$149.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $26.44 / $27.89 / $233.33	Professional		$26.44	$27.89	$233.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $16.27	Professional		$16.27	$16.27	$16.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $26.31 / $43.58 / $62.91	Facility		$26.31	$43.58	$62.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $43.66 / $62.91	Professional		$26.31	$43.66	$62.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $26.85 / $26.85	Professional		$21.96	$26.85	$26.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.28 / $31.11 / $35.04	Facility		$25.28	$31.11	$35.04
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $28.67 / $31.86 / $31.86	Professional		$28.67	$31.86	$31.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.44 / $27.89 / $51.58	Facility		$26.44	$27.89	$51.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.44 / $31.11 / $35.78	Professional		$26.44	$31.11	$35.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.73 / $27.08 / $31.86	Professional		$25.73	$27.08	$31.86
United Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $19.37 / $25.77	Professional		$12.85	$19.37	$25.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $27.08	Professional		$14.13	$14.13	$27.08