Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $21.79 / $22.75	Facility		$9.60	$21.79	$22.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $9.60 / $22.75	Professional		$6.13	$9.60	$22.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $23.02 / $36.17 / $90.00	Facility		$23.02	$36.17	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $14.74 / $127.21	Professional		$13.97	$14.74	$127.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $6.87 / $6.87	Professional		$6.87	$6.87	$6.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $23.68 / $36.38	Facility		$13.58	$23.68	$36.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $24.00 / $36.38	Professional		$15.36	$24.00	$36.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.82 / $60.00	Professional		$14.79	$16.82	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.44 / $16.82 / $18.51	Facility		$16.44	$16.82	$18.51
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $13.37 / $13.37	Professional		$13.37	$13.37	$13.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.74 / $29.48 / $43.73	Facility		$14.74	$29.48	$43.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $16.44 / $18.91	Professional		$13.97	$16.44	$18.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $14.31 / $16.82	Professional		$13.59	$14.31	$16.82
United Facility/Professional Professional Modifier Low / Median / High Price $6.84 / $8.59 / $13.62	Professional		$6.84	$8.59	$13.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.31 / $16.82	Professional		$14.31	$14.31	$16.82