Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.66 / $15.12 / $15.78	Facility		$6.66	$15.12	$15.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $7.00 / $15.84	Professional		$6.44	$7.00	$15.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.96 / $25.08 / $90.00	Facility		$15.96	$25.08	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $10.22 / $137.82	Professional		$9.69	$10.22	$137.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $4.76	Professional		$4.76	$4.76	$4.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $18.20 / $36.74	Facility		$11.00	$18.20	$36.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $18.20 / $36.71	Professional		$11.20	$18.20	$36.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $10.50 / $60.00	Professional		$10.26	$10.50	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.40 / $11.67 / $12.84	Facility		$11.40	$11.67	$12.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.22 / $20.44 / $30.32	Facility		$10.22	$20.44	$30.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $11.40 / $13.11	Professional		$9.69	$11.40	$13.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $9.92 / $11.67	Professional		$9.42	$9.92	$11.67
United Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $5.82 / $9.44	Professional		$4.95	$5.82	$9.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $9.92 / $11.67	Professional		$9.92	$9.92	$11.67