Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.26 / $14.21 / $14.84	Facility		$6.26	$14.21	$14.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $6.26 / $14.84	Professional		$3.39	$6.26	$14.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $80.00 / $80.00	Facility		$9.68	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $9.68 / $80.93	Professional		$9.17	$9.68	$80.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.64 / $5.64	Professional		$5.64	$5.64	$5.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $14.76 / $21.98	Facility		$8.91	$14.76	$21.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.78 / $21.98	Professional		$8.91	$14.78	$21.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $9.32 / $9.32	Professional		$7.63	$9.32	$9.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.77 / $10.79 / $12.16	Facility		$8.77	$10.79	$12.16
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $11.05 / $12.16	Professional		$8.77	$11.05	$12.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.17 / $9.68 / $17.89	Facility		$9.17	$9.68	$17.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $10.79 / $12.41	Professional		$9.17	$10.79	$12.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $9.39 / $11.05	Professional		$8.92	$9.39	$11.05
United Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $5.63 / $8.94	Professional		$4.46	$5.63	$8.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $9.39	Professional		$4.90	$4.90	$9.39