Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.62 / $10.49 / $10.95	Facility		$4.62	$10.49	$10.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $5.98 / $16.54	Professional		$4.62	$5.98	$16.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11.06 / $17.38 / $90.00	Facility		$11.06	$17.38	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $7.08 / $107.77	Professional		$6.72	$7.08	$107.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.30 / $3.30	Professional		$3.30	$3.30	$3.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $7.50 / $13.12 / $30.03	Facility		$7.50	$13.12	$30.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $13.20 / $30.03	Professional		$7.63	$13.20	$30.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $7.28 / $60.00	Professional		$7.11	$7.28	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.90 / $8.09 / $8.90	Facility		$7.90	$8.09	$8.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $14.16 / $21.01	Facility		$7.08	$14.16	$21.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $7.90 / $9.08	Professional		$6.72	$7.90	$9.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $6.88 / $8.09	Professional		$6.54	$6.88	$8.09
United Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $4.13 / $6.55	Professional		$3.43	$4.13	$6.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $6.88 / $8.09	Professional		$6.88	$6.88	$8.09