Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.93 / $19.07 / $19.07	Facility		$16.93	$19.07	$19.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $16.68 / $20.29	Professional		$14.33	$16.68	$20.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $24.68 / $75.00 / $89.51	Facility		$24.68	$75.00	$89.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $40.34 / $152.40	Professional		$24.75	$40.34	$152.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $15.77	Professional		$15.77	$15.77	$15.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $15.12 / $21.73 / $40.56	Facility		$15.12	$21.73	$40.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $20.26 / $36.96	Professional		$15.12	$20.26	$36.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $80.00	Professional		$75.00	$75.00	$80.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $34.31 / $37.40	Facility		$25.25	$34.31	$37.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.68 / $24.68 / $24.68	Facility		$24.68	$24.68	$24.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $38.32 / $48.98	Professional		$25.16	$38.32	$48.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $30.78 / $44.82	Professional		$25.02	$30.78	$44.82
United Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $30.74 / $51.30	Professional		$23.17	$30.74	$51.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $14.63 / $16.93	Professional		$14.63	$14.63	$16.93