Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $2.66 / $8.42	Facility		$1.69	$2.66	$8.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $1.88 / $3.40	Professional		$1.78	$1.88	$3.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $770.50 / $979.65	Facility		$2.04	$770.50	$979.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.04 / $179.29	Professional		$1.86	$2.04	$179.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $1.75 / $2.72	Facility		$1.75	$1.75	$2.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $2.27	Professional		$1.86	$1.86	$2.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $2.62 / $5.62	Facility		$1.86	$2.62	$5.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.80 / $5.62	Professional		$1.86	$2.80	$5.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $1.59 / $30.00	Professional		$1.36	$1.59	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $1.93 / $3.99	Facility		$1.33	$1.93	$3.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.38 / $4.98 / $4.98	Facility		$2.38	$4.98	$4.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $2.13 / $3.64	Professional		$1.76	$2.13	$3.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Facility		$2.04	$2.04	$2.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.04 / $2.23	Professional		$1.86	$2.04	$2.23
United Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $2.23	Professional		$1.86	$1.86	$2.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.86 / $1.86	Professional		$1.58	$1.86	$1.86