Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $5.07 / $9.76	Facility		$3.22	$5.07	$9.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.98 / $5.15	Professional		$2.93	$2.98	$5.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $95.00 / $100.00	Facility		$2.93	$95.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $3.00 / $1,664.49	Professional		$2.93	$3.00	$1,664.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.76 / $2.76 / $7.20	Facility		$2.76	$2.76	$7.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $3.59	Professional		$2.93	$2.93	$3.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $4.23 / $9.15	Facility		$2.93	$4.23	$9.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $4.20 / $8.19	Professional		$2.93	$4.20	$8.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.22 / $60.00	Professional		$3.00	$3.22	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $3.66 / $6.07	Facility		$2.93	$3.66	$6.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $2.93 / $3.09	Facility		$2.93	$2.93	$3.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $4.48 / $5.74	Professional		$3.22	$4.48	$5.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $3.06 / $5.36	Facility		$2.93	$3.06	$5.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $2.93 / $3.05	Professional		$2.78	$2.93	$3.05
United Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $3.03	Professional		$2.93	$2.93	$3.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $2.97 / $2.97	Professional		$2.97	$2.97	$2.97