Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $6.45 / $61.51	Facility		$4.12	$6.45	$61.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.62 / $5.47	Professional		$3.45	$3.62	$5.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $267.27 / $339.83	Facility		$3.80	$267.27	$339.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.82 / $111.13	Professional		$3.45	$3.82	$111.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.25 / $3.25 / $9.00	Facility		$3.25	$3.25	$9.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $4.62	Professional		$3.45	$3.45	$4.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $4.46 / $9.88	Facility		$3.45	$4.46	$9.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $4.55 / $9.93	Professional		$3.45	$4.55	$9.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $4.20 / $30.00	Professional		$3.79	$4.20	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $4.30 / $10.35	Facility		$3.45	$4.30	$10.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.92 / $5.98 / $5.98	Facility		$4.92	$5.98	$5.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.65 / $5.32 / $9.61	Professional		$4.65	$5.32	$9.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Facility		$3.80	$3.80	$3.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.80 / $4.13	Professional		$3.45	$3.80	$4.13
United Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $4.13	Professional		$3.45	$3.45	$4.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $4.17	Professional		$3.45	$3.45	$4.17