Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $5.58 / $264.11	Facility		$3.00	$5.58	$264.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.83 / $4.67	Professional		$2.73	$2.83	$4.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $95.00 / $100.00	Facility		$3.00	$95.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $3.00 / $593.63	Professional		$2.73	$3.00	$593.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $2.57 / $6.08	Facility		$2.57	$2.57	$6.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $3.34	Professional		$2.73	$2.73	$3.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $6.79 / $15.72	Facility		$2.73	$6.79	$15.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $6.79 / $14.06	Professional		$2.73	$6.79	$14.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $75.00	Professional		$3.89	$3.89	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.71 / $3.08 / $8.16	Facility		$2.71	$3.08	$8.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $10.95 / $10.95	Facility		$4.30	$10.95	$10.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.59 / $5.54	Professional		$3.11	$3.59	$5.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $3.00 / $18.64	Facility		$3.00	$3.00	$18.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $3.00 / $3.27	Professional		$2.73	$3.00	$3.27
United Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $3.28	Professional		$2.73	$2.73	$3.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $2.86	Professional		$2.73	$2.73	$2.86