Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.38 / $30.37 / $31.71	Facility		$13.38	$30.37	$31.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $13.38 / $31.71	Professional		$11.50	$13.38	$31.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.36 / $75.00 / $96.08	Facility		$17.36	$75.00	$96.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $17.23 / $103.06	Professional		$14.35	$17.23	$103.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.40 / $13.40 / $13.40	Facility		$13.40	$13.40	$13.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $13.40	Professional		$9.77	$9.77	$13.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11.83 / $19.98 / $53.43	Facility		$11.83	$19.98	$53.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $20.22 / $38.89	Professional		$11.84	$20.22	$38.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $19.82 / $60.00	Professional		$19.82	$19.82	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.75 / $19.36 / $20.53	Facility		$15.75	$19.36	$20.53
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $19.82 / $20.53	Professional		$17.84	$19.82	$20.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.36 / $22.26 / $38.72	Facility		$17.36	$22.26	$38.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $16.46 / $19.36	Professional		$16.46	$16.46	$19.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.87 / $19.36 / $19.36	Facility		$18.87	$19.36	$19.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $16.85 / $21.80	Professional		$15.75	$16.85	$21.80
United Facility/Professional Facility Modifier Low / Median / High Price $7.10 / $9.11 / $9.93	Facility		$7.10	$9.11	$9.93
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $9.22 / $17.55	Professional		$8.51	$9.22	$17.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $10.94 / $11.78	Professional		$10.94	$10.94	$11.78