Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $28.94 / $30.22	Facility		$12.75	$28.94	$30.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $12.75 / $30.22	Professional		$10.19	$12.75	$30.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.17 / $80.00 / $86.39	Facility		$17.17	$80.00	$86.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $19.89 / $101.49	Professional		$13.73	$19.89	$101.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $11.23 / $11.23	Facility		$11.23	$11.23	$11.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $11.23	Professional		$9.55	$9.55	$11.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $20.49 / $53.76	Facility		$12.00	$20.49	$53.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $20.36 / $38.06	Professional		$12.40	$20.36	$38.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.61 / $19.61 / $60.00	Professional		$19.61	$19.61	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $19.61 / $20.38	Facility		$17.64	$19.61	$20.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $15.58 / $15.58	Professional		$15.58	$15.58	$15.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.28 / $17.17 / $37.34	Facility		$16.28	$17.17	$37.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $18.57 / $28.18	Professional		$16.28	$18.57	$28.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.66 / $19.14 / $19.14	Facility		$18.66	$19.14	$19.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $21.57 / $21.57	Professional		$14.32	$21.57	$21.57
United Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $11.95 / $17.10	Professional		$8.96	$11.95	$17.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $16.67 / $16.67	Professional		$11.00	$16.67	$16.67