Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $21.86 / $2,548.73	Facility		$9.63	$21.86	$2,548.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $9.63 / $21.13	Professional		$6.43	$9.63	$21.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20.39 / $30.60 / $104.40	Facility		$20.39	$30.60	$104.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $73.77 / $99.00	Professional		$8.14	$73.77	$99.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $9.35 / $18.70	Facility		$9.35	$9.35	$18.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $9.35	Professional		$9.35	$9.35	$9.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2.80 / $6.30 / $63.29	Facility		$2.80	$6.30	$63.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $4.92 / $30.01	Professional		$2.48	$4.92	$30.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $22.46 / $22.78	Facility		$15.90	$22.46	$22.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.34 / $33.86 / $57.12	Facility		$17.34	$33.86	$57.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.39 / $24.48 / $45.42	Facility		$20.39	$24.48	$45.42
United Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $7.36 / $12.27	Professional		$5.80	$7.36	$12.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $11.00	Professional		$11.00	$11.00	$11.00