Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.34 / $18.28 / $28.97	Facility		$9.34	$18.28	$28.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $9.34 / $10.94	Professional		$8.78	$9.34	$10.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5.83 / $12.00 / $100.00	Facility		$5.83	$12.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $603.04 / $603.04	Professional		$9.61	$603.04	$603.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.34 / $9.34 / $18.68	Facility		$9.34	$9.34	$18.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $9.34 / $9.34	Professional		$9.34	$9.34	$9.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $11.38 / $24.42	Facility		$5.25	$11.38	$24.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $11.89 / $24.42	Professional		$5.30	$11.89	$24.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $10.07 / $75.00	Professional		$9.16	$10.07	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $79,999.20 / $79,999.20	Facility		$18.00	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.34 / $19.78 / $30.22	Facility		$9.34	$19.78	$30.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $9.89 / $10.99	Professional		$8.46	$9.89	$10.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5.83 / $6.99 / $13.28	Facility		$5.83	$6.99	$13.28
United Facility/Professional Facility Modifier Low / Median / High Price $30.32 / $30.32 / $30.32	Facility		$30.32	$30.32	$30.32
United Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $9.16 / $9.16	Professional		$9.16	$9.16	$9.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $9.16 / $9.16	Professional		$9.16	$9.16	$9.16