Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.27 / $18.80 / $19.62	Facility		$8.27	$18.80	$19.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $8.69 / $26.40	Professional		$6.37	$8.69	$26.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $31.15 / $90.00	Facility		$19.82	$31.15	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $12.70 / $127.21	Professional		$12.04	$12.70	$127.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $5.92	Professional		$5.92	$5.92	$5.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $21.42 / $35.43	Facility		$11.89	$21.42	$35.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $21.42 / $35.43	Professional		$14.12	$21.42	$35.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $13.05 / $60.00	Professional		$12.74	$13.05	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.16 / $14.50 / $15.95	Facility		$14.16	$14.50	$15.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.70 / $25.40 / $37.67	Facility		$12.70	$25.40	$37.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $14.16 / $16.28	Professional		$12.04	$14.16	$16.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $12.33 / $14.50	Professional		$11.71	$12.33	$14.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $7.40 / $11.73	Professional		$6.15	$7.40	$11.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $12.33 / $14.50	Professional		$12.33	$12.33	$14.50