Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $2.25 / $3.81	Facility		$1.86	$2.25	$3.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.86 / $2.29	Professional		$1.83	$1.86	$2.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1.83 / $95.00 / $95.00	Facility		$1.83	$95.00	$95.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.83 / $552.48	Professional		$1.83	$1.83	$552.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $1.73 / $3.62	Facility		$1.73	$1.73	$3.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.83 / $2.25	Professional		$1.83	$1.83	$2.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $1.85 / $4.28	Facility		$1.69	$1.85	$4.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.87 / $4.13	Professional		$1.64	$1.87	$4.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $70.00 / $80.00	Professional		$30.00	$70.00	$80.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.83 / $2.08 / $5.49	Facility		$1.83	$2.08	$5.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $1.70 / $1.91	Facility		$1.70	$1.70	$1.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $1.99 / $3.48	Professional		$1.91	$1.99	$3.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.83 / $1.83 / $3.11	Facility		$1.83	$1.83	$3.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.83 / $1.90	Professional		$1.74	$1.83	$1.90
United Facility/Professional Facility Modifier Low / Median / High Price $4.25 / $4.25 / $4.25	Facility		$4.25	$4.25	$4.25
United Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.83 / $1.85	Professional		$1.83	$1.83	$1.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $1.83 / $1.83	Professional		$1.80	$1.83	$1.83