Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $19.98 / $25.00	Facility		$19.98	$19.98	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $25.55 / $36.10	Professional		$19.98	$25.55	$36.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $31.53 / $75.00 / $122.12	Facility		$31.53	$75.00	$122.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $52.25 / $200.85	Professional		$31.53	$52.25	$200.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $18.97 / $18.97	Professional		$18.97	$18.97	$18.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $29.64 / $53.83	Facility		$21.70	$29.64	$53.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $29.64 / $50.75	Professional		$21.70	$29.64	$50.75
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 $37.95 / $45.58 / $46.23	Facility		$37.95	$45.58	$46.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.53 / $31.53 / $31.53	Facility		$31.53	$31.53	$31.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $48.96 / $62.59	Professional		$32.15	$48.96	$62.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $39.33 / $57.27	Professional		$31.88	$39.33	$57.27
United Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $42.71 / $106.53	Professional		$32.34	$42.71	$106.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $11.11 / $25.00	Professional		$11.11	$11.11	$25.00