Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.19 / $11.78 / $12.30	Facility		$5.19	$11.78	$12.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $7.04 / $12.35	Professional		$5.19	$7.04	$12.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12.45 / $19.55 / $90.00	Facility		$12.45	$19.55	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $7.74 / $148.41	Professional		$7.56	$7.74	$148.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.72 / $3.72	Professional		$3.72	$3.72	$3.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8.50 / $14.97 / $40.04	Facility		$8.50	$14.97	$40.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $15.72 / $40.04	Professional		$8.65	$15.72	$40.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.19 / $60.00	Professional		$8.00	$8.19	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.89 / $9.10 / $10.01	Facility		$8.89	$9.10	$10.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.97 / $15.94 / $23.65	Facility		$7.97	$15.94	$23.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $8.89 / $10.22	Professional		$7.56	$8.89	$10.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $7.74 / $9.10	Professional		$7.35	$7.74	$9.10
United Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $4.63 / $7.36	Professional		$3.69	$4.63	$7.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $7.73 / $9.10	Professional		$7.73	$7.73	$9.10