Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.43 / $12.33 / $12.87	Facility		$5.43	$12.33	$12.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $5.43 / $12.87	Professional		$2.94	$5.43	$12.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8.40 / $80.00 / $80.00	Facility		$8.40	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $8.40 / $70.28	Professional		$7.96	$8.40	$70.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $4.88 / $4.88	Professional		$4.88	$4.88	$4.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5.52 / $10.35 / $18.82	Facility		$5.52	$10.35	$18.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $10.69 / $18.82	Professional		$5.58	$10.69	$18.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $8.08 / $60.00	Professional		$5.88	$8.08	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.63 / $9.36 / $10.55	Facility		$7.63	$9.36	$10.55
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $9.59 / $9.59	Professional		$8.15	$9.59	$9.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.96 / $8.40 / $15.54	Facility		$7.96	$8.40	$15.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $9.36 / $10.78	Professional		$7.96	$9.36	$10.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $8.15 / $9.59	Professional		$7.74	$8.15	$9.59
United Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $4.88 / $7.76	Professional		$3.87	$4.88	$7.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.26 / $8.15	Professional		$4.26	$4.26	$8.15