Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.25 / $32.35 / $33.77	Facility		$14.25	$32.35	$33.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $14.25 / $32.35	Professional		$9.35	$14.25	$32.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $53.66 / $116.91	Facility		$34.15	$53.66	$116.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $21.87 / $197.89	Professional		$20.73	$21.87	$197.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Professional		$10.19	$10.19	$10.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20.79 / $36.26 / $54.84	Facility		$20.79	$36.26	$54.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $36.47 / $54.84	Professional		$23.04	$36.47	$54.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.95 / $24.98 / $60.00	Professional		$21.95	$24.98	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $24.98 / $27.48	Facility		$24.39	$24.98	$27.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.87 / $43.74 / $64.88	Facility		$21.87	$43.74	$64.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $24.39 / $28.05	Professional		$20.73	$24.39	$28.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $21.23 / $24.98	Professional		$20.17	$21.23	$24.98
United Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $12.74 / $20.20	Professional		$10.59	$12.74	$20.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $24.98	Professional		$21.23	$21.23	$24.98