Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $13.96 / $31.66	Professional		$13.63	$13.96	$31.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $25.60 / $134.91 / $134.91	Facility		$25.60	$134.91	$134.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $22.99 / $35.29	Professional		$2.71	$22.99	$35.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.13 / $20.13 / $20.13	Facility		$20.13	$20.13	$20.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $17.11 / $34.13	Professional		$17.11	$17.11	$34.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $26.37 / $26.37 / $26.37	Facility		$26.37	$26.37	$26.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.37 / $26.37 / $26.37	Professional		$26.37	$26.37	$26.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $22.63 / $30.19	Professional		$3.02	$22.63	$30.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.37 / $27.91 / $32.72	Facility		$26.37	$27.91	$32.72
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $27.91 / $31.26	Professional		$24.83	$27.91	$31.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.26 / $24.26 / $44.80	Facility		$24.26	$24.26	$44.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $21.76 / $29.44	Professional		$2.18	$21.76	$29.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.60 / $25.60 / $25.60	Facility		$25.60	$25.60	$25.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.22 / $2.70	Professional		$2.22	$2.22	$2.70
United Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $16.09 / $26.08	Professional		$13.57	$16.09	$26.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $21.62 / $21.62	Professional		$21.62	$21.62	$21.62