Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.16 / $4.90 / $5.12	Facility		$2.16	$4.90	$5.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $2.16 / $5.12	Professional		$1.26	$2.16	$5.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3.34 / $80.00 / $80.00	Facility		$3.34	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.34 / $30.08	Professional		$3.16	$3.34	$30.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $2.10	Professional		$2.10	$2.10	$2.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $5.62 / $8.33	Facility		$3.39	$5.62	$8.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $5.62 / $8.33	Professional		$3.39	$5.62	$8.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $3.21 / $3.21	Professional		$2.62	$3.21	$3.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.41 / $3.68 / $4.11	Facility		$3.41	$3.68	$4.11
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $4.11 / $4.11	Professional		$3.49	$4.11	$4.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.34 / $6.17	Facility		$3.16	$3.34	$6.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.72 / $4.28	Professional		$3.16	$3.72	$4.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.08 / $3.24 / $3.81	Professional		$3.08	$3.24	$3.81
United Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $2.09 / $3.32	Professional		$1.64	$2.09	$3.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $1.87 / $3.24	Professional		$1.87	$1.87	$3.24