Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $14.01 / $14.62	Facility		$6.17	$14.01	$14.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $10.67 / $30.78	Professional		$6.17	$10.67	$30.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.78 / $23.23 / $90.00	Facility		$14.78	$23.23	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $9.47 / $167.85	Professional		$8.98	$9.47	$167.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $4.41 / $4.41	Professional		$4.41	$4.41	$4.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $18.91 / $45.05	Facility		$10.50	$18.91	$45.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $18.91 / $45.05	Professional		$10.69	$18.91	$45.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $9.72 / $60.00	Professional		$9.50	$9.72	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.56 / $10.81 / $11.89	Facility		$10.56	$10.81	$11.89
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $8.59 / $8.59	Professional		$8.59	$8.59	$8.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.47 / $18.94 / $28.09	Facility		$9.47	$18.94	$28.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $10.56 / $12.14	Professional		$8.98	$10.56	$12.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.73 / $9.19 / $10.81	Professional		$8.73	$9.19	$10.81
United Facility/Professional Professional Modifier Low / Median / High Price $4.58 / $5.39 / $8.75	Professional		$4.58	$5.39	$8.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $9.19 / $10.81	Professional		$9.19	$9.19	$10.81