Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.66 / $19.66 / $20.52	Facility		$8.66	$19.66	$20.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $8.66 / $20.52	Professional		$4.68	$8.66	$20.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13.38 / $80.00 / $80.00	Facility		$13.38	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $13.38 / $111.90	Professional		$12.68	$13.38	$111.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $7.80 / $7.80	Professional		$7.80	$7.80	$7.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $20.38 / $30.32	Facility		$12.30	$20.38	$30.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $20.42 / $30.32	Professional		$12.30	$20.42	$30.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $12.89 / $12.89	Professional		$10.54	$12.89	$12.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $14.92 / $16.80	Facility		$12.14	$14.92	$16.80
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $15.28 / $15.59	Professional		$13.37	$15.28	$15.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $13.38 / $24.74	Facility		$12.68	$13.38	$24.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $14.92 / $17.16	Professional		$12.68	$14.92	$17.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.99 / $15.28	Professional		$12.34	$12.99	$15.28
United Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $9.30 / $12.36	Professional		$6.48	$9.30	$12.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $6.78 / $12.99	Professional		$6.78	$6.78	$12.99