Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $42.74 / $44.63	Facility		$18.82	$42.74	$44.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $18.82 / $44.63	Professional		$10.18	$18.82	$44.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $29.10 / $80.00 / $156.36	Facility		$29.10	$80.00	$156.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $29.10 / $243.38	Professional		$27.58	$29.10	$243.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $18.01 / $18.01	Professional		$13.56	$18.01	$18.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $27.16 / $44.99 / $65.18	Facility		$27.16	$44.99	$65.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $45.06 / $65.18	Professional		$27.16	$45.06	$65.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $28.02 / $28.02	Professional		$22.93	$28.02	$28.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.38 / $32.45 / $36.54	Facility		$26.38	$32.45	$36.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $33.22 / $34.89	Professional		$29.91	$33.22	$34.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.58 / $29.10 / $53.80	Facility		$27.58	$29.10	$53.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $32.45 / $37.32	Professional		$27.58	$32.45	$37.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.84 / $28.25 / $33.22	Professional		$26.84	$28.25	$33.22
United Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $16.95 / $26.89	Professional		$13.27	$16.95	$26.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $14.27 / $28.25	Professional		$14.27	$14.27	$28.25