Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.36 / $31.61	Professional		$9.55	$14.36	$31.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $27.88 / $134.69 / $134.69	Facility		$27.88	$134.69	$134.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $21.52 / $31.87	Professional		$2.40	$21.52	$31.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $18.77 / $24.64	Facility		$18.77	$18.77	$24.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $18.77 / $24.64	Professional		$15.95	$18.77	$24.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $28.71 / $28.71 / $28.71	Facility		$28.71	$28.71	$28.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $28.71 / $28.71	Professional		$28.71	$28.71	$28.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $22.41 / $26.92	Professional		$17.92	$22.41	$26.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $28.71 / $30.00	Facility		$26.07	$28.71	$30.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $28.71 / $28.72	Professional		$25.84	$28.71	$28.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $25.00 / $39.03	Facility		$2.50	$25.00	$39.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $23.70 / $50.41	Professional		$2.37	$23.70	$50.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.88 / $27.88 / $27.88	Facility		$27.88	$27.88	$27.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $1.97 / $2.40	Professional		$1.97	$1.97	$2.40
United Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $14.11 / $27.13	Professional		$13.28	$14.11	$27.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $19.86 / $21.52	Professional		$19.86	$19.86	$21.52