Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $2.27 / $5.15	Facility		$2.27	$2.27	$5.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $2.13 / $2.78	Professional		$1.45	$2.13	$2.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $90.00 / $90.00	Facility		$75.00	$90.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $10.80 / $23.33	Professional		$3.01	$10.80	$23.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $3.53 / $3.53	Professional		$3.53	$3.53	$3.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2.79 / $4.48 / $6.86	Facility		$2.79	$4.48	$6.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $4.41 / $7.04	Professional		$2.52	$4.41	$7.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $13.76 / $22.36	Professional		$8.60	$13.76	$22.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $5.28 / $11.90	Facility		$4.40	$5.28	$11.90
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $11.90 / $11.90	Professional		$11.90	$11.90	$11.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $6.06 / $7.50	Professional		$3.76	$6.06	$7.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $5.63 / $8.10	Professional		$5.41	$5.63	$8.10
United Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.73 / $2.89	Professional		$1.15	$1.73	$2.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $3.61 / $3.61	Professional		$3.61	$3.61	$3.61