Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $10.57 / $24.26	Professional		$10.49	$10.57	$24.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $99.12 / $99.12	Facility		$19.50	$99.12	$99.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $16.88 / $25.02	Professional		$2.02	$16.88	$25.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.81 / $13.81 / $13.81	Facility		$13.81	$13.81	$13.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $13.81 / $18.12	Professional		$11.74	$13.81	$18.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20.09 / $20.09 / $20.09	Facility		$20.09	$20.09	$20.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $20.09 / $20.09	Professional		$20.09	$20.09	$20.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $18.91 / $22.77	Professional		$15.12	$18.91	$22.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.09 / $21.13 / $24.96	Facility		$20.09	$21.13	$24.96
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $20.09 / $23.83	Professional		$20.09	$20.09	$23.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.84 / $18.42 / $18.42	Facility		$1.84	$18.42	$18.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $18.79 / $37.13	Professional		$1.66	$18.79	$37.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $1.67 / $2.02	Professional		$1.67	$1.67	$2.02
United Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $11.24 / $20.07	Professional		$10.44	$11.24	$20.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $66.25 / $66.25	Professional		$66.25	$66.25	$66.25