Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.82 / $10.94 / $140.74	Facility		$4.82	$10.94	$140.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $4.82 / $8.34	Professional		$2.61	$4.82	$8.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7.77 / $85.00 / $90.00	Facility		$7.77	$85.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $15.48 / $49.50	Professional		$8.00	$15.48	$49.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $1.30 / $1.30	Professional		$1.30	$1.30	$1.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $11.95 / $15.91	Facility		$5.89	$11.95	$15.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $12.32 / $17.03	Professional		$7.21	$12.32	$17.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $11.23 / $11.39	Facility		$9.35	$11.23	$11.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.70 / $7.70 / $7.77	Facility		$7.70	$7.70	$7.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $12.94 / $15.42	Professional		$8.21	$12.94	$15.42
United Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $3.68 / $6.14	Professional		$3.32	$3.68	$6.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $6.80 / $9.38	Professional		$6.80	$6.80	$9.38