Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $19.05 / $19.05	Facility		$14.13	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $18.57 / $24.31	Professional		$10.66	$18.57	$24.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $26.64 / $75.00	Facility		$16.64	$26.64	$75.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $35.97 / $146.80	Professional		$18.82	$35.97	$146.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $12.80 / $12.80	Professional		$12.80	$12.80	$12.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10.01 / $14.25 / $28.36	Facility		$10.01	$14.25	$28.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.01 / $14.25 / $26.79	Professional		$10.01	$14.25	$26.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $50.00 / $50.00	Professional		$17.38	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.76 / $26.80 / $46.92	Facility		$18.76	$26.80	$46.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $31.26 / $31.26	Facility		$18.28	$31.26	$31.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $32.19 / $55.41	Professional		$19.19	$32.19	$55.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.18 / $21.90 / $39.96	Facility		$17.18	$21.90	$39.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $32.34 / $46.71	Professional		$25.87	$32.34	$46.71
United Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $35.88 / $66.50	Professional		$17.47	$35.88	$66.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $11.87 / $14.13	Professional		$11.87	$11.87	$14.13