Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $5.92 / $6.19	Facility		$2.61	$5.92	$6.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $2.61 / $6.19	Professional		$1.41	$2.61	$6.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4.04 / $80.00 / $80.00	Facility		$4.04	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $4.04 / $33.75	Professional		$3.83	$4.04	$33.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $1.88	Professional		$1.88	$1.88	$1.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2.76 / $5.92 / $8.96	Facility		$2.76	$5.92	$8.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $6.05 / $8.96	Professional		$2.79	$6.05	$8.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $3.87 / $60.00	Professional		$2.81	$3.87	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.15 / $4.50 / $5.30	Facility		$4.15	$4.50	$5.30
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $4.01 / $4.01	Professional		$3.65	$4.01	$4.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.83 / $4.04 / $7.46	Facility		$3.83	$4.04	$7.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $4.50 / $5.18	Professional		$3.83	$4.50	$5.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.92 / $4.61	Professional		$3.72	$3.92	$4.61
United Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $2.35 / $3.73	Professional		$1.85	$2.35	$3.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $1.76 / $3.92	Professional		$1.76	$1.76	$3.92