Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.10 / $11.10 / $11.10	Facility		$11.10	$11.10	$11.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $15.30 / $76.76	Professional		$11.10	$15.30	$76.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $75.00 / $75.00	Facility		$26.99	$75.00	$75.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $34.86 / $122.25	Professional		$19.39	$34.86	$122.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $11.55 / $11.55	Professional		$11.55	$11.55	$11.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $27.62 / $40.04	Facility		$14.88	$27.62	$40.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $24.48 / $40.04	Professional		$13.45	$24.48	$40.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $27.75 / $28.14	Facility		$23.10	$27.75	$28.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $32.02 / $38.25	Professional		$20.50	$32.02	$38.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $27.32 / $36.63	Professional		$19.39	$27.32	$36.63
United Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $24.29 / $213.06	Professional		$15.75	$24.29	$213.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $76.00	Professional		$6.77	$6.77	$76.00