Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $10.02 / $21.92	Professional		$9.85	$10.02	$21.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $93.55 / $93.55	Facility		$19.57	$93.55	$93.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $14.74 / $22.04	Professional		$11.83	$14.74	$22.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $13.24 / $13.24	Facility		$13.24	$13.24	$13.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $13.24 / $17.38	Professional		$11.25	$13.24	$17.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20.04 / $20.04 / $20.04	Facility		$20.04	$20.04	$20.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $20.04 / $20.04	Professional		$20.04	$20.04	$20.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $15.36 / $18.46	Professional		$12.28	$15.36	$18.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.04 / $19.71 / $20.65	Facility		$18.04	$19.71	$20.65
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $19.71 / $20.04	Professional		$17.73	$19.71	$20.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.76 / $1.76 / $27.40	Facility		$1.76	$1.76	$27.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $16.64 / $19.57	Professional		$1.67	$16.64	$19.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $19.57 / $19.57	Facility		$19.57	$19.57	$19.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $1.36 / $1.66	Professional		$1.36	$1.36	$1.66
United Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $9.83 / $18.76	Professional		$9.11	$9.83	$18.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.92 / $13.92 / $14.74	Professional		$13.92	$13.92	$14.74