Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $97.98 / $397.50	Facility		$0.12	$97.98	$397.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.12 / $1.40	Professional		$0.11	$0.12	$1.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.23 / $85.00	Facility		$0.11	$0.23	$85.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.96	Professional		$0.11	$0.11	$0.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Facility		$0.11	$0.11	$0.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.14	Professional		$0.11	$0.11	$0.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.55 / $0.88	Facility		$0.11	$0.55	$0.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.53 / $0.88	Professional		$0.11	$0.53	$0.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.15 / $0.36	Facility		$0.12	$0.15	$0.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.23 / $0.23	Facility		$0.23	$0.23	$0.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.23 / $0.23	Professional		$0.21	$0.23	$0.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Facility		$0.11	$0.11	$0.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.11 / $0.11	Professional		$0.10	$0.11	$0.11
United Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.13	Professional		$0.11	$0.11	$0.13