Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.48 / $30.60 / $31.95	Facility		$13.48	$30.60	$31.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $14.56 / $31.95	Professional		$13.48	$14.56	$31.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $32.28 / $50.73 / $132.27	Facility		$32.28	$50.73	$132.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $20.68 / $305.66	Professional		$19.60	$20.68	$305.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $9.63 / $9.63	Professional		$9.63	$9.63	$9.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $37.44 / $83.44	Facility		$22.50	$37.44	$83.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $39.15 / $83.44	Professional		$22.91	$39.15	$83.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $23.61 / $60.00	Professional		$20.75	$23.61	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.06 / $23.61 / $25.97	Facility		$23.06	$23.61	$25.97
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $18.76 / $18.76	Professional		$18.76	$18.76	$18.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.68 / $41.36 / $61.34	Facility		$20.68	$41.36	$61.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $23.06 / $26.52	Professional		$19.60	$23.06	$26.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $20.07 / $23.61	Professional		$19.07	$20.07	$23.61
United Facility/Professional Professional Modifier Low / Median / High Price $10.01 / $16.23 / $19.11	Professional		$10.01	$16.23	$19.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $20.07 / $23.61	Professional		$20.07	$20.07	$23.61