Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $19.07 / $19.07	Facility		$19.07	$19.07	$19.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $17.35 / $21.30	Professional		$14.39	$17.35	$21.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $30.48 / $89.51 / $89.51	Facility		$30.48	$89.51	$89.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $42.78 / $152.40	Professional		$25.41	$42.78	$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 $16.43 / $32.72 / $45.78	Facility		$16.43	$32.72	$45.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $29.90 / $45.78	Professional		$16.27	$29.90	$45.78
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 $25.48 / $34.31 / $36.18	Facility		$25.48	$34.31	$36.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $41.16 / $49.59	Professional		$26.50	$41.16	$49.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $35.13 / $46.69	Professional		$25.41	$35.13	$46.69
United Facility/Professional Professional Modifier Low / Median / High Price $19.13 / $30.15 / $52.48	Professional		$19.13	$30.15	$52.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $14.63 / $17.57	Professional		$14.63	$14.63	$17.57