Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.70 / $6.13 / $6.40	Facility		$2.70	$6.13	$6.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $2.70 / $6.40	Professional		$1.45	$2.70	$6.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $80.00 / $80.00	Facility		$4.17	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $4.17 / $34.88	Professional		$3.95	$4.17	$34.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $1.94 / $1.94	Professional		$1.94	$1.94	$1.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3.12 / $6.32 / $8.96	Facility		$3.12	$6.32	$8.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $6.32 / $9.09	Professional		$3.81	$6.32	$9.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $30.00	Professional		$4.76	$4.76	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.76 / $4.65 / $5.24	Facility		$3.76	$4.65	$5.24
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $4.76 / $4.76	Professional		$3.78	$4.76	$4.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $4.17 / $7.71	Facility		$3.95	$4.17	$7.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $4.65 / $5.35	Professional		$3.95	$4.65	$5.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.85 / $4.05 / $4.76	Professional		$3.85	$4.05	$4.76
United Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $2.43 / $3.85	Professional		$1.92	$2.43	$3.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.82 / $4.05	Professional		$1.82	$1.82	$4.05