Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $3.66 / $8.27	Professional		$3.53	$3.66	$8.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6.22 / $80.00 / $85.00	Facility		$6.22	$80.00	$85.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $5.93 / $8.57	Professional		$0.66	$5.93	$8.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $4.84 / $6.37	Facility		$4.84	$4.84	$6.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $4.84 / $6.37	Professional		$4.12	$4.84	$6.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6.82 / $6.82 / $6.82	Facility		$6.82	$6.82	$6.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $6.82 / $6.82	Professional		$6.82	$6.82	$6.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $6.29 / $6.91	Professional		$5.66	$6.29	$6.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.82 / $7.32 / $8.16	Facility		$6.82	$7.32	$8.16
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $7.32 / $8.07	Professional		$6.52	$7.32	$8.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $6.22 / $6.22	Facility		$0.63	$6.22	$6.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $5.63 / $6.62	Professional		$0.56	$5.63	$6.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6.62 / $6.62 / $6.62	Facility		$6.62	$6.62	$6.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $0.59 / $0.72	Professional		$0.59	$0.59	$0.72
United Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.51 / $6.74	Professional		$3.22	$3.51	$6.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $5.04 / $5.93	Professional		$5.04	$5.04	$5.93