Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $12.32 / $27.39	Professional		$11.36	$12.32	$27.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.57 / $100.00 / $112.37	Facility		$21.57	$100.00	$112.37
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $18.13 / $24.64	Professional		$1.89	$18.13	$24.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.93 / $13.93 / $13.93	Facility		$13.93	$13.93	$13.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $13.93 / $18.28	Professional		$11.84	$13.93	$18.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $24.64 / $24.64 / $24.64	Facility		$24.64	$24.64	$24.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.64 / $24.64 / $24.64	Professional		$24.64	$24.64	$24.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.99 / $18.88 / $20.76	Professional		$16.99	$18.88	$20.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.18 / $22.72 / $24.64	Facility		$22.18	$22.72	$24.64
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $22.72 / $24.64	Professional		$22.19	$22.72	$24.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $21.57 / $21.57	Facility		$1.99	$21.57	$21.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $20.45 / $43.38	Professional		$1.89	$20.45	$43.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.06 / $24.06 / $24.06	Facility		$24.06	$24.06	$24.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $1.54 / $1.88	Professional		$1.54	$1.54	$1.88
United Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $10.45 / $19.93	Professional		$9.65	$10.45	$19.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $15.05 / $15.05	Professional		$15.05	$15.05	$15.05