Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.40 / $32.81 / $78.25	Facility		$8.40	$32.81	$78.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $7.63 / $9.13	Professional		$7.62	$7.63	$9.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7.63 / $85.00 / $100.00	Facility		$7.63	$85.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $7.92 / $57.42	Professional		$7.63	$7.92	$57.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.20 / $7.20 / $8.56	Facility		$7.20	$7.20	$8.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $7.63 / $9.36	Professional		$7.63	$7.63	$9.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3.50 / $7.63 / $8.40	Facility		$3.50	$7.63	$8.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $7.63 / $8.33	Professional		$3.15	$7.63	$8.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $8.39 / $30.00	Professional		$5.89	$8.39	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.36 / $7.63 / $15.84	Facility		$5.36	$7.63	$15.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $9.64 / $9.88	Facility		$9.64	$9.64	$9.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $10.46 / $11.62	Professional		$8.94	$10.46	$11.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7.63 / $7.63 / $7.63	Facility		$7.63	$7.63	$7.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.63 / $7.94	Professional		$7.25	$7.63	$7.94
United Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $7.63 / $9.06	Professional		$7.63	$7.63	$9.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $7.63 / $9.68	Professional		$7.63	$7.63	$9.68