Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $12.88 / $29.38	Professional		$12.81	$12.88	$29.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $22.48 / $100.00 / $124.16	Facility		$22.48	$100.00	$124.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $21.13 / $30.62	Professional		$2.39	$21.13	$30.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $17.30 / $17.30	Facility		$17.30	$17.30	$17.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $14.71 / $30.75	Professional		$14.71	$14.71	$30.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $24.76 / $24.76 / $24.76	Facility		$24.76	$24.76	$24.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.76 / $24.76 / $24.76	Professional		$24.76	$24.76	$24.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $22.56 / $24.81	Professional		$20.30	$22.56	$24.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.76 / $25.75 / $29.16	Facility		$24.76	$25.75	$29.16
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $24.76 / $29.16	Professional		$22.28	$24.76	$29.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $22.48 / $22.48	Facility		$2.24	$22.48	$22.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $20.43 / $27.65	Professional		$2.04	$20.43	$27.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.04 / $24.04 / $24.04	Facility		$24.04	$24.04	$24.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $1.96 / $2.39	Professional		$1.96	$1.96	$2.39
United Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $12.75 / $24.51	Professional		$11.54	$12.75	$24.51