Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $27.58 / $55.38	Facility		$14.39	$27.58	$55.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $14.39 / $14.39	Professional		$14.39	$14.39	$14.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $2.84 / $100.00	Facility		$1.81	$2.84	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $10.76 / $10.76	Professional		$9.08	$10.76	$10.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $4.05 / $8.11	Facility		$2.02	$4.05	$8.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $5.27 / $9.47	Facility		$1.74	$5.27	$9.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $2.39 / $2.39	Professional		$2.39	$2.39	$2.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $79,999.20 / $79,999.20	Facility		$2.65	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.67 / $3.06 / $5.19	Facility		$1.67	$3.06	$5.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $2.25 / $4.91	Facility		$1.81	$2.25	$4.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $1.99 / $1.99	Professional		$1.99	$1.99	$1.99