Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.87 / $29.21 / $30.50	Facility		$12.87	$29.21	$30.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $12.87 / $30.50	Professional		$6.95	$12.87	$30.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.88 / $80.00 / $106.80	Facility		$19.88	$80.00	$106.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $19.88 / $166.28	Professional		$18.84	$19.88	$166.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $11.59 / $11.59	Professional		$11.59	$11.59	$11.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $30.22 / $44.72	Facility		$18.23	$30.22	$44.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $30.28 / $43.93	Professional		$18.23	$30.28	$43.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $19.14 / $19.14	Professional		$15.66	$19.14	$19.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $22.17 / $24.97	Facility		$18.01	$22.17	$24.97
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $22.70 / $23.84	Professional		$18.03	$22.70	$23.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $19.88 / $36.76	Facility		$18.84	$19.88	$36.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $22.17 / $25.50	Professional		$18.84	$22.17	$25.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $19.30 / $22.70	Professional		$18.34	$19.30	$22.70
United Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $11.58 / $18.37	Professional		$9.06	$11.58	$18.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.97 / $10.97 / $19.29	Professional		$10.97	$10.97	$19.29