Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.28 / $23.34 / $24.36	Facility		$10.28	$23.34	$24.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $10.28 / $24.36	Professional		$7.20	$10.28	$24.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $24.65 / $38.74 / $90.00	Facility		$24.65	$38.74	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $15.79 / $151.96	Professional		$14.97	$15.79	$151.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $7.36 / $7.36	Professional		$7.36	$7.36	$7.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $26.02 / $42.19	Facility		$14.42	$26.02	$42.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $26.02 / $42.19	Professional		$16.88	$26.02	$42.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $16.22 / $60.00	Professional		$15.84	$16.22	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.61 / $18.03 / $19.82	Facility		$17.61	$18.03	$19.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.79 / $31.58 / $46.84	Facility		$15.79	$31.58	$46.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $17.61 / $20.25	Professional		$14.97	$17.61	$20.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $15.33 / $18.03	Professional		$14.56	$15.33	$18.03
United Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $9.19 / $14.59	Professional		$7.64	$9.19	$14.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $15.33 / $18.03	Professional		$15.33	$15.33	$18.03