Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $16.28 / $36.13	Professional		$16.21	$16.28	$36.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $31.53 / $100.00 / $152.57	Facility		$31.53	$100.00	$152.57
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $25.31 / $36.77	Professional		$19.48	$25.31	$36.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Facility		$21.27	$21.27	$21.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $21.27 / $27.91	Professional		$18.07	$21.27	$27.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $32.47 / $32.47 / $32.47	Facility		$32.47	$32.47	$32.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $32.47 / $32.47	Professional		$32.47	$32.47	$32.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $26.35 / $31.70	Professional		$21.08	$26.35	$31.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.09 / $32.47 / $34.67	Facility		$30.09	$32.47	$34.67
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $32.47 / $33.15	Professional		$30.85	$32.47	$33.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $2.85 / $36.26	Facility		$2.85	$2.85	$36.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $26.80 / $36.26	Professional		$2.68	$26.80	$36.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.53 / $31.53 / $31.53	Facility		$31.53	$31.53	$31.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.31 / $2.81	Professional		$2.31	$2.31	$2.81
United Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $16.13 / $31.01	Professional		$16.13	$16.13	$31.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.37 / $23.37 / $25.31	Professional		$23.37	$23.37	$25.31