Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $13.58 / $30.83	Facility		$13.58	$13.58	$30.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $13.26 / $15.91	Professional		$12.78	$13.26	$15.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $100.00	Facility		$85.00	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $55.93 / $71.91	Professional		$6.73	$55.93	$71.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $13.58 / $13.58	Professional		$13.58	$13.58	$13.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3.41 / $5.66 / $8.57	Facility		$3.41	$5.66	$8.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $5.45 / $8.66	Professional		$3.12	$5.45	$8.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $75.00	Professional		$30.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $6.61 / $6.70	Facility		$5.50	$6.61	$6.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.58 / $17.42	Professional		$13.26	$13.58	$17.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $7.04 / $10.11	Professional		$6.77	$7.04	$10.11
United Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $2.17 / $3.61	Professional		$1.44	$2.17	$3.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.32 / $13.32 / $13.32	Professional		$13.32	$13.32	$13.32