Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.97 / $3.11 / $63.21	Facility		$0.97	$3.11	$63.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.92 / $2.41	Professional		$0.88	$0.92	$2.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.97 / $1.73 / $100.00	Facility		$0.97	$1.73	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.97 / $8,746.08	Professional		$0.88	$0.97	$8,746.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $0.88 / $3.44	Facility		$0.83	$0.88	$3.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.88 / $1.14	Professional		$0.88	$0.88	$1.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $3.03 / $29.59	Facility		$0.88	$3.03	$29.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $3.03 / $26.00	Professional		$0.88	$3.03	$26.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $2.02 / $75.00	Professional		$1.46	$2.02	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $1.66 / $2.94	Facility		$0.88	$1.66	$2.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $2.16 / $3.96	Facility		$1.26	$2.16	$3.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $1.67 / $2.75	Professional		$1.54	$1.67	$2.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $1.44 / $3.94	Facility		$0.96	$1.44	$3.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.97 / $1.06	Professional		$0.88	$0.97	$1.06
United Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.88 / $1.06	Professional		$0.88	$0.88	$1.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $1.42	Professional		$1.42	$1.42	$1.42