Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $11.12 / $11.61	Facility		$4.90	$11.12	$11.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $4.90 / $11.61	Professional		$2.65	$4.90	$11.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $80.00 / $80.00	Facility		$7.57	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.17 / $7.57 / $63.30	Professional		$7.17	$7.57	$63.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.87 / $3.87	Professional		$3.52	$3.87	$3.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $9.27 / $16.23	Facility		$5.00	$9.27	$16.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $9.69 / $17.09	Professional		$5.01	$9.69	$17.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $7.29 / $30.00	Professional		$5.96	$7.29	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.86 / $8.44 / $9.50	Facility		$6.86	$8.44	$9.50
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $8.64 / $8.64	Professional		$6.86	$8.64	$8.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.17 / $7.57 / $13.99	Facility		$7.17	$7.57	$13.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.17 / $8.44 / $9.71	Professional		$7.17	$8.44	$9.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $7.34 / $8.64	Professional		$6.97	$7.34	$8.64
United Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $4.30 / $7.00	Professional		$3.49	$4.30	$7.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $3.84 / $7.34	Professional		$3.84	$3.84	$7.34