Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $26.56 / $27.73	Facility		$11.70	$26.56	$27.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $16.39 / $27.84	Professional		$11.70	$16.39	$27.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $28.04 / $44.07 / $149.28	Facility		$28.04	$44.07	$149.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $17.96 / $344.54	Professional		$17.03	$17.96	$344.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $8.36 / $8.36	Professional		$8.36	$8.36	$8.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $35.46 / $94.28	Facility		$19.50	$35.46	$94.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $37.22 / $94.28	Professional		$19.85	$37.22	$94.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $18.45 / $60.00	Professional		$18.02	$18.45	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.03 / $20.51 / $22.56	Facility		$20.03	$20.51	$22.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.96 / $35.92 / $53.28	Facility		$17.96	$35.92	$53.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $20.03 / $23.03	Professional		$17.03	$20.03	$23.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $17.43 / $20.51	Professional		$16.55	$17.43	$20.51
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.46 / $16.59	Professional		$8.32	$10.46	$16.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.43 / $17.43 / $20.51	Professional		$17.43	$17.43	$20.51