Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $11.31 / $25.10	Professional		$11.10	$11.31	$25.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.55 / $100.00 / $104.55	Facility		$21.55	$100.00	$104.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $17.85 / $24.78	Professional		$2.04	$17.85	$24.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $14.57 / $14.57	Facility		$14.57	$14.57	$14.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $14.57 / $19.13	Professional		$12.38	$14.57	$19.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.19 / $22.19 / $22.19	Facility		$22.19	$22.19	$22.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $22.19 / $22.19	Professional		$22.19	$22.19	$22.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $19.16 / $23.05	Professional		$15.32	$19.16	$23.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.24 / $22.77 / $24.51	Facility		$21.24	$22.77	$24.51
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $22.19 / $24.41	Professional		$19.97	$22.19	$24.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.98 / $1.98 / $24.78	Facility		$1.98	$1.98	$24.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $18.32 / $40.03	Professional		$1.83	$18.32	$40.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.55 / $21.55 / $21.55	Facility		$21.55	$21.55	$21.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $1.68 / $2.04	Professional		$1.68	$1.68	$2.04
United Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $11.38 / $21.54	Professional		$11.20	$11.38	$21.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $17.01 / $17.01	Professional		$17.01	$17.01	$17.01