Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.57 / $21.72 / $38.22	Facility		$9.57	$21.72	$38.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $9.57 / $22.68	Professional		$7.37	$9.57	$22.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $75.00 / $80.00	Facility		$12.90	$75.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $12.52 / $73.36	Professional		$8.66	$12.52	$73.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.14 / $7.14 / $7.14	Facility		$7.14	$7.14	$7.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $5.21 / $7.14	Professional		$5.21	$5.21	$7.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6.82 / $13.99 / $31.87	Facility		$6.82	$13.99	$31.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $13.99 / $23.99	Professional		$6.83	$13.99	$23.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $11.29 / $12.41	Professional		$10.16	$11.29	$12.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.69 / $14.39 / $14.73	Facility		$11.69	$14.39	$14.73
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $14.73 / $14.73	Professional		$13.26	$14.73	$14.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $16.55 / $28.78	Facility		$12.90	$16.55	$28.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $12.23 / $12.59	Professional		$12.23	$12.23	$12.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $14.39 / $14.39	Facility		$14.02	$14.39	$14.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $12.52 / $16.20	Professional		$11.70	$12.52	$16.20
United Facility/Professional Facility Modifier Low / Median / High Price $4.25 / $7.28 / $8.49	Facility		$4.25	$7.28	$8.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $8.27 / $10.52	Professional		$5.51	$8.27	$10.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $2.61 / $12.52	Professional		$2.61	$2.61	$12.52