Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $32.04 / $33.46	Facility		$14.12	$32.04	$33.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $14.12 / $33.46	Professional		$11.02	$14.12	$33.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.32 / $75.00 / $101.74	Facility		$18.32	$75.00	$101.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $17.78 / $129.84	Professional		$13.77	$17.78	$129.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $13.34 / $13.34	Facility		$13.34	$13.34	$13.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $9.74 / $13.34	Professional		$9.74	$9.74	$13.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $21.34 / $56.25	Facility		$12.96	$21.34	$56.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $21.59 / $41.37	Professional		$13.00	$21.59	$41.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $16.04 / $17.64	Professional		$14.43	$16.04	$17.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $19.67 / $20.92	Facility		$16.60	$19.67	$20.92
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $19.87 / $20.92	Professional		$18.82	$19.87	$20.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.32 / $23.49 / $40.86	Facility		$18.32	$23.49	$40.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $17.37 / $17.37	Professional		$15.38	$17.37	$17.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $20.43 / $20.43	Facility		$19.91	$20.43	$20.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $17.78 / $23.01	Professional		$16.62	$17.78	$23.01
United Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $10.58 / $18.72	Professional		$9.15	$10.58	$18.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $4.16 / $11.52	Professional		$4.16	$4.16	$11.52