Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $18.02 / $18.82	Facility		$7.94	$18.02	$18.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $7.94 / $18.82	Professional		$5.05	$7.94	$18.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12.27 / $80.00 / $80.00	Facility		$12.27	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $11.93 / $109.94	Professional		$11.64	$11.93	$109.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $8.42 / $8.42	Professional		$8.42	$8.42	$8.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $13.15 / $21.79 / $32.28	Facility		$13.15	$21.79	$32.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $21.79 / $32.28	Professional		$13.15	$21.79	$32.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $11.82 / $11.82	Professional		$9.67	$11.82	$11.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.13 / $13.69 / $15.43	Facility		$11.13	$13.69	$15.43
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $14.03 / $14.03	Professional		$11.93	$14.03	$14.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.64 / $12.27 / $22.70	Facility		$11.64	$12.27	$22.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $13.69 / $15.74	Professional		$11.64	$13.69	$15.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $11.93 / $14.03	Professional		$11.33	$11.93	$14.03
United Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $8.42 / $13.35	Professional		$6.65	$8.42	$13.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $7.43 / $11.93	Professional		$7.43	$7.43	$11.93