Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $20.14 / $274.38	Facility		$4.54	$20.14	$274.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.09 / $9.11	Professional		$3.24	$4.09	$9.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $11.34 / $1,300.00	Facility		$3.00	$11.34	$1,300.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $23.91 / $78.59	Professional		$4.16	$23.91	$78.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.41 / $0.64 / $4.23	Facility		$0.41	$0.64	$4.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $8.69 / $10.96	Professional		$2.91	$8.69	$10.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2.79 / $5.58 / $7.76	Facility		$2.79	$5.58	$7.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $5.62 / $8.07	Professional		$3.39	$5.62	$8.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $14.11 / $19.07	Professional		$7.63	$14.11	$19.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.85 / $17.03 / $18.09	Facility		$14.85	$17.03	$18.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $3.00 / $7.95	Facility		$3.00	$3.00	$7.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $10.71 / $12.54	Professional		$7.95	$10.71	$12.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $17.55 / $23.91	Professional		$4.16	$17.55	$23.91
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00