Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.76 / $22.16 / $23.13	Facility		$9.76	$22.16	$23.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $9.76 / $23.13	Professional		$5.27	$9.76	$23.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.08 / $80.00 / $81.01	Facility		$15.08	$80.00	$81.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $15.08 / $126.15	Professional		$14.30	$15.08	$126.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $8.78 / $8.78	Professional		$8.78	$8.78	$8.78
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 $11.87 / $14.50 / $14.50	Professional		$11.87	$14.50	$14.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.66 / $16.82 / $18.94	Facility		$13.66	$16.82	$18.94
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $17.22 / $18.25	Professional		$15.04	$17.22	$18.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.30 / $15.08 / $27.89	Facility		$14.30	$15.08	$27.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $16.82 / $19.34	Professional		$14.30	$16.82	$19.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $14.64 / $17.22	Professional		$13.91	$14.64	$17.22
United Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $8.77 / $13.93	Professional		$6.87	$8.77	$13.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $7.63 / $14.64	Professional		$7.63	$7.63	$14.64