Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.25 / $6.25 / $6.25	Facility		$6.25	$6.25	$6.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $8.10 / $13.48	Professional		$6.25	$8.10	$13.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16.44 / $80.00 / $85.00	Facility		$16.44	$80.00	$85.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $20.02 / $72.38	Professional		$11.09	$20.02	$72.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $7.74 / $7.74	Professional		$7.74	$7.74	$7.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8.36 / $15.66 / $23.36	Facility		$8.36	$15.66	$23.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $14.85 / $23.36	Professional		$8.13	$14.85	$23.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $70.00	Professional		$60.00	$60.00	$70.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.07 / $17.12 / $17.69	Facility		$13.07	$17.12	$17.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.87 / $10.87 / $10.87	Facility		$10.87	$10.87	$10.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $19.78 / $23.68	Professional		$12.69	$19.78	$23.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $16.35 / $22.33	Professional		$11.09	$16.35	$22.33
United Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $14.59 / $26.11	Professional		$9.26	$14.59	$26.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $7.18 / $9.11	Professional		$7.18	$7.18	$9.11