Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $23.36 / $32.00	Facility		$13.13	$23.36	$32.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $12.92 / $23.36	Professional		$6.77	$12.92	$23.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.18 / $90.00 / $90.00	Facility		$17.18	$90.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $43.20 / $116.48	Professional		$15.85	$43.20	$116.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $28.65 / $28.65	Facility		$28.65	$28.65	$28.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $20.91 / $28.65	Professional		$20.91	$20.91	$28.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $28.12 / $45.54	Facility		$12.83	$28.12	$45.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $26.85 / $36.24	Professional		$14.26	$26.85	$36.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $93.50	Professional		$45.00	$50.00	$93.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $26.42 / $53.81	Facility		$22.00	$26.42	$53.81
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $53.81 / $53.81 / $53.81	Professional		$53.81	$53.81	$53.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $18.28 / $54.00	Professional		$18.28	$18.28	$54.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $19.98 / $36.49	Facility		$16.64	$19.98	$36.49
United Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $9.52 / $14.44	Professional		$8.41	$9.52	$14.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $26.62	Professional		$26.62	$26.62	$26.62