Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $4.09 / $869.68	Facility		$1.73	$4.09	$869.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.73 / $1.93	Professional		$1.64	$1.73	$1.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $1.93 / $90.00	Facility		$1.93	$1.93	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $1.93 / $404.61	Professional		$1.93	$1.93	$404.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $1.73 / $3.46	Facility		$1.73	$1.73	$3.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $1.73 / $1.73	Professional		$1.73	$1.73	$1.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $4.40 / $22.89	Facility		$2.65	$4.40	$22.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $4.48 / $22.89	Professional		$2.65	$4.48	$22.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $3.08 / $50.00	Professional		$1.93	$3.08	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $1.93 / $15.41	Facility		$1.93	$1.93	$15.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $1.93 / $1.93	Facility		$1.93	$1.93	$1.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $1.93 / $1.93	Professional		$1.93	$1.93	$1.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $1.93 / $1.93	Facility		$1.93	$1.93	$1.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.93 / $1.93	Professional		$1.83	$1.93	$1.93
United Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $2.02	Professional		$1.69	$1.69	$2.02