Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $22.02 / $22.99	Facility		$9.69	$22.02	$22.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $9.69 / $22.99	Professional		$5.24	$9.69	$22.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $80.00 / $80.50	Facility		$14.99	$80.00	$80.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $14.99 / $125.33	Professional		$14.20	$14.99	$125.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $8.75	Professional		$8.75	$8.75	$8.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $23.19 / $34.11	Facility		$14.00	$23.19	$34.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $23.23 / $34.11	Professional		$14.00	$23.23	$34.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.79 / $14.42 / $14.42	Professional		$11.79	$14.42	$14.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $16.71 / $18.82	Facility		$13.58	$16.71	$18.82
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $17.11 / $18.82	Professional		$13.58	$17.11	$18.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.20 / $14.99 / $27.71	Facility		$14.20	$14.99	$27.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $16.71 / $19.22	Professional		$14.20	$16.71	$19.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.81 / $14.54 / $17.11	Professional		$13.81	$14.54	$17.11
United Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $8.72 / $13.85	Professional		$6.91	$8.72	$13.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $14.54	Professional		$7.59	$7.59	$14.54