Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $20.38 / $21.28	Facility		$8.98	$20.38	$21.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $8.98 / $21.51	Professional		$4.45	$8.98	$21.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13.88 / $80.00 / $80.00	Facility		$13.88	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $14.00 / $78.93	Professional		$11.45	$14.00	$78.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.23 / $9.23 / $9.23	Facility		$9.23	$9.23	$9.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $7.85 / $11.20	Professional		$6.47	$7.85	$11.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $9.30 / $15.99 / $26.79	Facility		$9.30	$15.99	$26.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $16.17 / $28.25	Professional		$9.30	$16.17	$28.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $75.00	Professional		$15.85	$15.85	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $15.48 / $15.85	Facility		$12.58	$15.48	$15.85
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $15.85 / $15.85	Professional		$13.85	$15.85	$15.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.16 / $13.88 / $25.67	Facility		$13.16	$13.88	$25.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $15.02 / $22.79	Professional		$13.16	$15.02	$22.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $13.47 / $17.44	Professional		$12.59	$13.47	$17.44
United Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $6.72 / $12.83	Professional		$6.32	$6.72	$12.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $9.27 / $10.11	Professional		$9.27	$9.27	$10.11