Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.97 / $14.77 / $117.71	Facility		$8.97	$14.77	$117.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.23 / $22.20	Professional		$8.15	$8.23	$22.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10.69 / $17.10 / $547.94	Facility		$10.69	$17.10	$547.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $8.97 / $7,072.56	Professional		$7.74	$8.97	$7,072.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $7.69 / $11.35	Facility		$4.68	$7.69	$11.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.15 / $10.00	Professional		$8.15	$8.15	$10.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $35.61 / $156.60	Facility		$8.15	$35.61	$156.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $35.61 / $151.84	Professional		$8.15	$35.61	$151.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $6.44 / $30.00	Professional		$5.26	$6.44	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.86 / $8.46 / $24.45	Facility		$5.86	$8.46	$24.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.31 / $26.04 / $44.19	Facility		$12.31	$26.04	$44.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $6.32 / $10.78	Professional		$5.22	$6.32	$10.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10.69 / $16.04 / $43.01	Facility		$10.69	$16.04	$43.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.97 / $9.77	Professional		$8.15	$8.97	$9.77
United Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.15 / $9.77	Professional		$8.15	$8.15	$9.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $8.15 / $8.15	Professional		$4.68	$8.15	$8.15