Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.17 / $7.17 / $19.51	Facility		$7.17	$7.17	$19.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.17 / $13.86 / $26.87	Professional		$7.17	$13.86	$26.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $37.64 / $43.50 / $43.50	Facility		$37.64	$43.50	$43.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $38.90 / $146.43	Professional		$13.67	$38.90	$146.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $20.83 / $20.83	Professional		$20.83	$20.83	$20.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $20.63 / $47.18	Facility		$9.77	$20.63	$47.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $20.68 / $49.65	Professional		$9.61	$20.68	$49.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $54.21 / $95.68	Professional		$9.21	$54.21	$95.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $38.76 / $46.90	Facility		$23.52	$38.76	$46.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.80 / $30.80 / $30.80	Facility		$30.80	$30.80	$30.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $28.91 / $58.45	Professional		$14.40	$28.91	$58.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $26.71 / $53.02	Professional		$12.94	$26.71	$53.02
United Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $34.79 / $65.54	Professional		$23.40	$34.79	$65.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $26.47	Professional		$19.32	$19.32	$26.47