Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $18.73 / $26.66	Facility		$12.49	$18.73	$26.66
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $8.31 / $8.31 / $24.31	Facility	CQ	$8.31	$8.31	$24.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $11.38 / $20.44	Professional		$8.19	$11.38	$20.44
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $8.74 / $9.06 / $9.06	Professional	CQ	$8.74	$9.06	$9.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.56 / $20.97 / $37.86	Facility		$14.56	$20.97	$37.86
Asuris Northwest Health Facility/Professional Facility Modifier CQ Low / Median / High Price $42.50 / $48.89 / $48.89	Facility	CQ	$42.50	$48.89	$48.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $28.56 / $98.55	Professional		$16.45	$28.56	$98.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $11.31 / $11.31	Professional		$11.31	$11.31	$11.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $26.85 / $37.50	Facility		$17.82	$26.85	$37.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $26.85 / $34.75	Professional		$17.82	$26.85	$34.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $23.45 / $26.13	Facility		$18.89	$23.45	$26.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $20.97 / $32.04	Facility		$16.00	$20.97	$32.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $27.09 / $32.81	Professional		$16.45	$27.09	$32.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $17.48 / $33.20	Facility		$15.03	$17.48	$33.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $22.11 / $30.99	Professional		$16.44	$22.11	$30.99
United Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $19.10 / $37.13	Professional		$15.90	$19.10	$37.13