Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.69 / $19.75 / $20.62	Facility		$8.69	$19.75	$20.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.71 / $8.69 / $20.62	Professional		$4.71	$8.69	$20.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $25.54 / $85.00	Facility		$15.00	$25.54	$85.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $76.48 / $112.50	Professional		$15.36	$76.48	$112.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $10.72 / $10.72	Professional		$7.84	$10.72	$10.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8.99 / $16.67 / $28.23	Facility		$8.99	$16.67	$28.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $16.80 / $29.59	Professional		$9.11	$16.80	$29.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $30.00 / $60.00	Professional		$12.80	$30.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $17.66	Facility		$15.00	$15.00	$17.66
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $13.23 / $15.00	Professional		$13.23	$13.23	$15.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.45 / $26.90 / $39.00	Facility		$13.45	$26.90	$39.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $12.75 / $12.75	Professional		$12.75	$12.75	$12.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.62 / $15.00 / $15.00	Facility		$14.62	$15.00	$15.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $9.77 / $12.43	Professional		$6.20	$9.77	$12.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $7.36 / $7.36	Professional		$7.36	$7.36	$7.36