Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $41.27 / $43.09	Facility		$18.18	$41.27	$43.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $18.18 / $43.09	Professional		$15.59	$18.18	$43.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $23.59 / $75.00 / $128.41	Facility		$23.59	$75.00	$128.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.16 / $23.58 / $138.63	Professional		$19.16	$23.58	$138.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $15.39 / $15.39	Facility		$15.39	$15.39	$15.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $11.23 / $17.45	Professional		$11.23	$11.23	$17.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $26.94 / $70.31	Facility		$10.54	$26.94	$70.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $26.94 / $52.13	Professional		$10.54	$26.94	$52.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $60.00	Professional		$26.94	$26.94	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.39 / $26.31 / $27.84	Facility		$21.39	$26.31	$27.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $26.94 / $27.84	Professional		$24.25	$26.94	$27.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.59 / $30.26 / $52.62	Facility		$23.59	$30.26	$52.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $22.36 / $26.31	Professional		$22.36	$22.36	$26.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.64 / $26.31 / $26.31	Facility		$25.64	$26.31	$26.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $22.90 / $29.63	Professional		$21.41	$22.90	$29.63
United Facility/Professional Facility Modifier Low / Median / High Price $9.47 / $12.18 / $13.26	Facility		$9.47	$12.18	$13.26
United Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $12.29 / $23.45	Professional		$11.36	$12.29	$23.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $22.90 / $22.90	Professional		$15.01	$22.90	$22.90