Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.17 / $29.90 / $31.21	Facility		$13.17	$29.90	$31.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $13.17 / $31.21	Professional		$10.28	$13.17	$31.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.09 / $75.00 / $95.99	Facility		$17.09	$75.00	$95.99
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $16.98 / $121.08	Professional		$13.00	$16.98	$121.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.18 / $12.18 / $12.18	Facility		$12.18	$12.18	$12.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $8.89 / $12.18	Professional		$8.89	$8.89	$12.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11.96 / $19.91 / $52.50	Facility		$11.96	$19.91	$52.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $19.98 / $38.89	Professional		$12.00	$19.98	$38.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $14.97 / $16.46	Professional		$13.47	$14.97	$16.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $18.35 / $19.52	Facility		$15.50	$18.35	$19.52
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $19.52 / $19.52	Professional		$15.51	$19.52	$19.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.09 / $21.92 / $38.11	Facility		$17.09	$21.92	$38.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $18.59	Professional		$16.20	$16.20	$18.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $19.05 / $19.05	Facility		$18.57	$19.05	$19.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $16.59 / $21.47	Professional		$15.51	$16.59	$21.47
United Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $9.15 / $17.46	Professional		$8.46	$9.15	$17.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $11.20 / $11.20	Professional		$11.20	$11.20	$11.20