Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $3.84 / $4.01	Facility		$1.69	$3.84	$4.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.69 / $4.01	Professional		$1.00	$1.69	$4.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $80.00 / $80.00	Facility		$2.61	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.61 / $21.83	Professional		$2.47	$2.61	$21.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $1.52 / $1.52	Professional		$1.52	$1.52	$1.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $4.21 / $6.27	Facility		$2.52	$4.21	$6.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $4.21 / $5.79	Professional		$2.54	$4.21	$5.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.05 / $2.50 / $2.50	Professional		$2.05	$2.50	$2.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.36 / $2.91 / $3.28	Facility		$2.36	$2.91	$3.28
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $2.98 / $2.98	Professional		$2.36	$2.98	$2.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.47 / $2.61 / $4.82	Facility		$2.47	$2.61	$4.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.82 / $3.35	Professional		$2.47	$2.82	$3.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.52 / $2.98	Professional		$2.40	$2.52	$2.98
United Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.52 / $2.41	Professional		$1.20	$1.52	$2.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.32 / $2.52	Professional		$1.32	$1.32	$2.52