Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.23 / $9.23 / $9.23	Facility		$9.23	$9.23	$9.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $11.27 / $28.19	Professional		$9.23	$11.27	$28.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $22.13 / $34.78 / $93.85	Facility		$22.13	$34.78	$93.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $14.18 / $217.33	Professional		$13.44	$14.18	$217.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $6.60 / $6.60	Professional		$6.60	$6.60	$6.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $26.56 / $60.07	Facility		$15.50	$26.56	$60.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.78 / $27.29 / $60.07	Professional		$15.78	$27.29	$60.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $16.19 / $60.00	Professional		$14.22	$16.19	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.81 / $16.19 / $17.80	Facility		$15.81	$16.19	$17.80
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $12.86	Professional		$12.86	$12.86	$12.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.18 / $28.36 / $42.05	Facility		$14.18	$28.36	$42.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $15.81 / $18.18	Professional		$13.44	$15.81	$18.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $13.76 / $16.19	Professional		$13.07	$13.76	$16.19
United Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $7.60 / $13.10	Professional		$6.86	$7.60	$13.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $13.76 / $16.19	Professional		$13.76	$13.76	$16.19