Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.07 / $23.40 / $657.61	Facility		$13.07	$23.40	$657.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $12.95 / $14.86	Professional		$11.88	$12.95	$14.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $11.21 / $100.00	Facility		$4.12	$11.21	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $11.88 / $1,591.16	Professional		$11.70	$11.88	$1,591.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.21 / $11.21 / $24.02	Facility		$11.21	$11.21	$24.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $14.57	Professional		$11.88	$11.88	$14.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $16.04 / $29.86	Facility		$11.47	$16.04	$29.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $16.32 / $30.61	Professional		$11.47	$16.32	$30.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $30.00 / $75.00	Professional		$10.69	$30.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $11.88 / $22.45	Facility		$11.70	$11.88	$22.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.96 / $6.09 / $11.52	Facility		$3.96	$6.09	$11.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $13.10 / $22.19	Professional		$12.75	$13.10	$22.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8.17 / $11.88 / $11.88	Facility		$8.17	$11.88	$11.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $11.88 / $11.88	Professional		$11.29	$11.88	$11.88
United Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $14.26	Professional		$11.88	$11.88	$14.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $12.07	Professional		$11.88	$11.88	$12.07