Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.68 / $8.68 / $23.18	Facility		$8.68	$8.68	$23.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $8.68 / $9.85	Professional		$5.86	$8.68	$9.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7.90 / $12.64 / $100.00	Facility		$7.90	$12.64	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $990.60 / $990.60	Professional		$10.14	$990.60	$990.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.55 / $6.55 / $26.20	Facility		$6.55	$6.55	$26.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $6.55 / $8.02	Professional		$6.55	$6.55	$8.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6.55 / $9.66 / $17.14	Facility		$6.55	$9.66	$17.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $9.67 / $17.09	Professional		$6.55	$9.67	$17.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $10.70 / $75.00	Professional		$9.73	$10.70	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.45 / $12.55 / $12.73	Facility		$10.45	$12.55	$12.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7.90 / $9.48 / $18.01	Facility		$7.90	$9.48	$18.01
United Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $11.59 / $13.91	Professional		$11.59	$11.59	$13.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $9.69 / $9.69	Professional		$9.69	$9.69	$9.69