Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.46 / $21.47 / $22.42	Facility		$9.46	$21.47	$22.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $9.46 / $22.48	Professional		$7.96	$9.46	$22.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $22.67 / $35.61 / $90.00	Facility		$22.67	$35.61	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $14.20 / $167.85	Professional		$13.76	$14.20	$167.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $26.48 / $45.89	Facility		$14.88	$26.48	$45.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $26.48 / $45.89	Professional		$16.29	$26.48	$45.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $14.92 / $60.00	Professional		$14.57	$14.92	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.19 / $16.57 / $18.23	Facility		$16.19	$16.57	$18.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $29.04 / $43.07	Facility		$14.52	$29.04	$43.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $16.19 / $18.62	Professional		$13.76	$16.19	$18.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $14.09 / $16.57	Professional		$13.39	$14.09	$16.57
United Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $8.44 / $13.41	Professional		$7.03	$8.44	$13.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $14.09 / $16.57	Professional		$14.09	$14.09	$16.57