Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $20.11 / $34.09	Facility		$11.75	$20.11	$34.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $11.11 / $20.11	Professional		$10.68	$11.11	$20.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $22.88 / $120.82	Facility		$13.28	$22.88	$120.82
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $11.75 / $424.84	Professional		$10.68	$11.75	$424.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $10.68 / $27.33	Facility		$10.07	$10.68	$27.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $13.10	Professional		$10.68	$10.68	$13.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $24.30 / $65.17	Facility		$10.68	$24.30	$65.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $24.70 / $59.58	Professional		$10.68	$24.70	$59.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $11.22 / $30.00	Professional		$10.19	$11.22	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9.73 / $12.09 / $29.19	Facility		$9.73	$12.09	$29.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.20 / $26.18 / $44.16	Facility		$14.20	$26.18	$44.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $15.20 / $25.94	Professional		$12.54	$15.20	$25.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $19.73 / $36.24	Facility		$13.28	$19.73	$36.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $11.75 / $12.81	Professional		$10.68	$11.75	$12.81
United Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $12.82	Professional		$10.68	$10.68	$12.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $11.27	Professional		$10.68	$10.68	$11.27