Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $10.40 / $24.48	Facility		$10.40	$10.40	$24.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $10.40 / $10.40	Professional		$9.78	$10.40	$10.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $95.00 / $100.00	Facility		$10.40	$95.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $10.40 / $673.81	Professional		$9.88	$10.40	$673.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $10.40 / $20.80	Facility		$10.40	$10.40	$20.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $10.40 / $10.40	Professional		$10.40	$10.40	$10.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4.03 / $5.46 / $9.59	Facility		$4.03	$5.46	$9.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $5.62 / $9.68	Professional		$4.03	$5.62	$9.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.84 / $7.52 / $75.00	Professional		$6.84	$7.52	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.16 / $10.16 / $10.40	Facility		$10.16	$10.16	$10.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $10.40 / $12.85	Professional		$9.42	$10.40	$12.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $10.40 / $10.40	Facility		$10.40	$10.40	$10.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $10.40 / $10.40	Professional		$9.88	$10.40	$10.40
United Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $12.24	Professional		$10.19	$10.19	$12.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Professional		$10.19	$10.19	$10.19