Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $28.35 / $29.60	Facility		$12.49	$28.35	$29.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $12.49 / $25.60	Professional		$7.06	$12.49	$25.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $90.00 / $90.00	Facility		$15.89	$90.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $27.68 / $107.70	Professional		$12.29	$27.68	$107.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $28.37 / $28.37	Facility		$28.37	$28.37	$28.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $20.71 / $28.37	Professional		$20.71	$20.71	$28.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $26.01 / $42.18	Facility		$11.89	$26.01	$42.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $24.84 / $33.51	Professional		$13.02	$24.84	$33.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.89 / $22.51 / $24.79	Facility		$19.89	$22.51	$24.79
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $19.89 / $19.89	Professional		$19.89	$19.89	$19.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $16.91 / $49.95	Professional		$16.91	$16.91	$49.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $18.48 / $33.75	Facility		$15.40	$18.48	$33.75
United Facility/Professional Facility Modifier Low / Median / High Price $6.30 / $8.00 / $8.81	Facility		$6.30	$8.00	$8.81
United Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $8.81 / $13.35	Professional		$7.95	$8.81	$13.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.49 / $22.49 / $27.68	Professional		$22.49	$22.49	$27.68