Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $11.68 / $25.65	Professional		$11.51	$11.68	$25.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $47.42 / $109.28 / $109.28	Facility		$47.42	$109.28	$109.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $17.30 / $25.77	Professional		$1.93	$17.30	$25.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $15.26 / $20.03	Facility		$15.26	$15.26	$20.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $15.26 / $27.00	Professional		$12.97	$15.26	$27.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.36 / $23.36 / $23.36	Facility		$23.36	$23.36	$23.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.36 / $23.36 / $23.36	Professional		$23.36	$23.36	$23.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $18.02 / $21.68	Professional		$14.41	$18.02	$21.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.09 / $23.12 / $24.22	Facility		$21.09	$23.12	$24.22
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $23.12 / $23.36	Professional		$23.12	$23.12	$23.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $20.28 / $26.08	Facility		$2.02	$20.28	$26.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $19.28 / $26.08	Professional		$1.93	$19.28	$26.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.68 / $22.68 / $22.68	Facility		$22.68	$22.68	$22.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $1.92	Professional		$1.58	$1.58	$1.92
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $11.45 / $22.01	Professional		$10.70	$11.45	$22.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $15.99 / $17.30	Professional		$15.99	$15.99	$17.30