Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $3.25 / $4.46	Facility		$1.88	$3.25	$4.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.88 / $3.25	Professional		$1.71	$1.88	$3.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1.71 / $4.70 / $100.00	Facility		$1.71	$4.70	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $8.56	Professional		$1.71	$1.71	$8.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.61 / $1.61 / $1.71	Facility		$1.61	$1.61	$1.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $2.10	Professional		$1.71	$1.71	$2.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1.71 / $2.65 / $5.38	Facility		$1.71	$2.65	$5.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $2.80 / $5.38	Professional		$1.71	$2.80	$5.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $1.99	Professional		$1.88	$1.88	$1.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.71 / $1.81 / $3.56	Facility		$1.71	$1.81	$3.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.30 / $6.30 / $6.30	Facility		$6.30	$6.30	$6.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.29 / $6.30 / $6.30	Professional		$3.29	$6.30	$6.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.71 / $1.71 / $1.71	Facility		$1.71	$1.71	$1.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.71 / $1.71	Professional		$1.62	$1.71	$1.71
United Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $2.04	Professional		$1.71	$1.71	$2.04