Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.17 / $27.63 / $28.84	Facility		$12.17	$27.63	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $12.17 / $28.84	Professional		$9.96	$12.17	$28.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $29.19 / $45.87 / $99.92	Facility		$29.19	$45.87	$99.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $18.69 / $210.25	Professional		$17.72	$18.69	$210.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $33.21 / $58.12	Facility		$19.39	$33.21	$58.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $33.79 / $58.12	Professional		$20.87	$33.79	$58.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $19.21 / $60.00	Professional		$18.76	$19.21	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.85 / $21.35 / $23.49	Facility		$20.85	$21.35	$23.49
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $16.94 / $16.94	Professional		$16.94	$16.94	$16.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.69 / $37.38 / $55.46	Facility		$18.69	$37.38	$55.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $20.85 / $23.98	Professional		$17.72	$20.85	$23.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $18.14 / $21.35	Professional		$17.23	$18.14	$21.35
United Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $10.89 / $17.27	Professional		$9.05	$10.89	$17.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $21.35	Professional		$18.14	$18.14	$21.35