Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.75 / $32.75 / $32.75	Facility		$32.75	$32.75	$32.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $28.57 / $33.58	Professional		$20.47	$28.57	$33.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $45.88 / $123.58 / $123.58	Facility		$45.88	$123.58	$123.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $159.61 / $205.05	Professional		$36.04	$159.61	$205.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $32.29 / $32.29	Professional		$32.29	$32.29	$32.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $27.76 / $57.06 / $96.77	Facility		$27.76	$57.06	$96.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $48.87 / $71.17	Professional		$26.35	$48.87	$71.17
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 $35.96 / $47.95 / $48.91	Facility		$35.96	$47.95	$48.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $71.06 / $71.06	Professional		$52.00	$71.06	$71.06
United Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $59.00 / $61.00	Professional		$59.00	$59.00	$61.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $41.00 / $41.00	Professional		$41.00	$41.00	$41.00