Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.92 / $13.44 / $57.69	Facility		$5.92	$13.44	$57.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $5.92 / $14.03	Professional		$3.06	$5.92	$14.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9.14 / $80.00 / $80.00	Facility		$9.14	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $9.14 / $76.50	Professional		$8.67	$9.14	$76.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $5.33 / $5.33	Professional		$5.33	$5.33	$5.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8.48 / $14.06 / $20.62	Facility		$8.48	$14.06	$20.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $14.08 / $20.62	Professional		$8.48	$14.08	$20.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $8.80 / $8.80	Professional		$7.20	$8.80	$8.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.28 / $10.19 / $11.48	Facility		$8.28	$10.19	$11.48
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $10.44 / $11.48	Professional		$8.28	$10.44	$11.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.67 / $9.14 / $16.91	Facility		$8.67	$9.14	$16.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $10.19 / $11.73	Professional		$8.67	$10.19	$11.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $8.86 / $10.44	Professional		$8.43	$8.86	$10.44
United Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $5.32 / $8.44	Professional		$4.21	$5.32	$8.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $4.63 / $8.86	Professional		$4.63	$4.63	$8.86