Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.53 / $20.53 / $20.53	Facility		$20.53	$20.53	$20.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $17.38 / $20.53	Professional		$14.10	$17.38	$20.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $32.09 / $86.18 / $86.18	Facility		$32.09	$86.18	$86.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $108.59 / $143.10	Professional		$25.23	$108.59	$143.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $19.22 / $19.22	Professional		$19.22	$19.22	$19.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $34.00 / $56.92	Facility		$16.43	$34.00	$56.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $28.75 / $43.73	Professional		$15.50	$28.75	$43.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.83 / $33.52 / $34.17	Facility		$23.83	$33.52	$34.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $49.35 / $49.35	Professional		$38.00	$49.35	$49.35
United Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $44.00 / $45.00	Professional		$44.00	$44.00	$45.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Professional		$27.00	$27.00	$27.00