Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $17.84 / $18.63	Facility		$7.86	$17.84	$18.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $7.86 / $18.63	Professional		$4.25	$7.86	$18.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12.15 / $80.00 / $80.00	Facility		$12.15	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $12.15 / $101.63	Professional		$11.52	$12.15	$101.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $7.09 / $7.09	Professional		$7.09	$7.09	$7.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $18.27 / $27.28	Facility		$11.03	$18.27	$27.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $18.30 / $26.90	Professional		$11.03	$18.30	$26.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $11.69 / $11.69	Professional		$9.56	$11.69	$11.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.01 / $13.55 / $15.27	Facility		$11.01	$13.55	$15.27
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $13.88 / $15.27	Professional		$12.49	$13.88	$15.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.52 / $12.15 / $22.47	Facility		$11.52	$12.15	$22.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $13.55 / $15.58	Professional		$11.52	$13.55	$15.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $11.80 / $13.88	Professional		$11.21	$11.80	$13.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $6.98 / $11.23	Professional		$5.60	$6.98	$11.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $5.95 / $11.80	Professional		$5.95	$5.95	$11.80