Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $25.49 / $26.62	Facility		$11.23	$25.49	$26.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $11.23 / $26.62	Professional		$7.51	$11.23	$26.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $26.91 / $42.28 / $92.10	Facility		$26.91	$42.28	$92.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $17.23 / $157.25	Professional		$16.34	$17.23	$157.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $8.02 / $8.02	Professional		$8.02	$8.02	$8.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $15.70 / $27.78 / $43.87	Facility		$15.70	$27.78	$43.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $28.31 / $43.87	Professional		$18.23	$28.31	$43.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $19.68 / $60.00	Professional		$17.29	$19.68	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.22 / $19.68 / $21.65	Facility		$19.22	$19.68	$21.65
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $15.63 / $15.63 / $15.63	Professional		$15.63	$15.63	$15.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $34.46 / $51.13	Facility		$17.23	$34.46	$51.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $19.22 / $22.10	Professional		$16.34	$19.22	$22.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $16.73 / $19.68	Professional		$15.89	$16.73	$19.68
United Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $9.82 / $15.92	Professional		$8.35	$9.82	$15.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $16.73 / $19.68	Professional		$16.73	$16.73	$19.68