Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.79 / $25.79 / $25.79	Facility		$25.79	$25.79	$25.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $21.32 / $25.79	Professional		$16.96	$21.32	$25.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $41.37 / $217.62 / $217.62	Facility		$41.37	$217.62	$217.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $185.70 / $193.44	Professional		$29.00	$185.70	$193.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $22.28 / $22.28	Professional		$22.28	$22.28	$22.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16.72 / $34.10 / $67.17	Facility		$16.72	$34.10	$67.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $31.18 / $51.30	Professional		$16.73	$31.18	$51.30
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 $32.47 / $43.29 / $44.22	Facility		$32.47	$43.29	$44.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.68 / $59.42 / $59.42	Professional		$48.68	$59.42	$59.42
United Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $62.00	Professional		$51.00	$51.00	$62.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $41.00 / $41.00	Professional		$41.00	$41.00	$41.00