Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.93 / $5.93 / $23.52	Facility		$5.93	$5.93	$23.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $5.93 / $11.00	Professional		$4.28	$5.93	$11.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11.29 / $18.54 / $80.00	Facility		$11.29	$18.54	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.07 / $69.52 / $86.93	Professional		$5.07	$69.52	$86.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $7.13 / $7.13	Professional		$7.13	$7.13	$7.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $9.43 / $16.87 / $26.18	Facility		$9.43	$16.87	$26.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $17.05 / $26.58	Professional		$9.61	$17.05	$26.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $9.76 / $30.00	Professional		$7.99	$9.76	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $11.87 / $14.68	Facility		$11.59	$11.87	$14.68
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $11.87 / $13.96	Professional		$11.59	$11.87	$13.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $19.53 / $29.35	Facility		$1.07	$19.53	$29.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $9.85 / $13.33	Professional		$1.02	$9.85	$13.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11.29 / $11.59 / $11.59	Facility		$11.29	$11.59	$11.59
United Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $7.12 / $11.29	Professional		$5.63	$7.12	$11.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $7.29 / $7.29	Professional		$7.29	$7.29	$7.29