Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.67 / $33.29 / $34.77	Facility		$14.67	$33.29	$34.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.67 / $18.98 / $58.00	Professional		$14.67	$18.98	$58.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $35.17 / $55.26 / $158.72	Facility		$35.17	$55.26	$158.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $22.52 / $365.74	Professional		$21.35	$22.52	$365.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $10.49 / $10.49	Professional		$10.49	$10.49	$10.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $44.02 / $100.12	Facility		$23.52	$44.02	$100.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $44.02 / $100.12	Professional		$25.46	$44.02	$100.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $23.14 / $60.00	Professional		$22.60	$23.14	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.72 / $28.29	Facility		$25.12	$25.72	$28.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $45.04 / $66.81	Facility		$22.52	$45.04	$66.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $25.12 / $28.89	Professional		$21.35	$25.12	$28.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $21.86 / $25.72	Professional		$20.77	$21.86	$25.72
United Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $12.83 / $20.81	Professional		$10.45	$12.83	$20.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $21.86 / $25.72	Professional		$21.86	$21.86	$25.72