Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $16.85 / $18.89	Facility		$16.85	$16.85	$18.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $19.64 / $27.91	Professional		$16.00	$19.64	$27.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $26.81 / $77.47 / $77.47	Facility		$26.81	$77.47	$77.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $37.35 / $128.85	Professional		$20.79	$37.35	$128.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $15.18 / $17.42	Professional		$15.18	$15.18	$17.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $27.98 / $43.04	Facility		$14.26	$27.98	$43.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $25.30 / $39.52	Professional		$13.95	$25.30	$39.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $70.00 / $85.00	Professional		$60.00	$70.00	$85.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.80 / $30.15 / $33.50	Facility		$21.80	$30.15	$33.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.65 / $28.34 / $31.16	Facility		$22.65	$28.34	$31.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $35.47 / $45.36	Professional		$22.85	$35.47	$45.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.80 / $24.96 / $34.64	Facility		$20.80	$24.96	$34.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $30.41 / $41.32	Professional		$20.79	$30.41	$41.32
United Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $27.49 / $48.26	Professional		$17.32	$27.49	$48.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $14.08 / $18.57	Professional		$14.08	$14.08	$18.57