Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $11.11 / $25.04	Professional		$10.82	$11.11	$25.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $100.00 / $104.64	Facility		$19.00	$100.00	$104.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $17.84 / $25.22	Professional		$2.00	$17.84	$25.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $14.58 / $19.14	Facility		$14.58	$14.58	$19.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $14.58 / $26.63	Professional		$12.39	$14.58	$26.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $21.11 / $21.11 / $21.11	Facility		$21.11	$21.11	$21.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.11 / $21.11 / $21.11	Professional		$21.11	$21.11	$21.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $18.64 / $20.50	Professional		$16.77	$18.64	$20.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.11 / $22.22 / $24.32	Facility		$21.11	$22.22	$24.32
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $22.22 / $24.32	Professional		$19.32	$22.22	$24.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.90 / $19.00 / $19.00	Facility		$1.90	$19.00	$19.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $19.38 / $23.56	Professional		$1.74	$19.38	$23.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.49 / $20.49 / $20.49	Facility		$20.49	$20.49	$20.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.64 / $2.00	Professional		$1.64	$1.64	$2.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $10.78 / $20.71	Professional		$10.33	$10.78	$20.71