Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $30.72 / $72.28	Facility		$30.72	$30.72	$72.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $30.72 / $30.72	Professional		$28.91	$30.72	$30.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $45.18 / $159.00	Facility		$21.23	$45.18	$159.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $722.89 / $722.89	Professional		$26.74	$722.89	$722.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $30.72 / $122.88	Facility		$30.72	$30.72	$122.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Professional		$30.72	$30.72	$30.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $12.23 / $25.31 / $45.70	Facility		$12.23	$25.31	$45.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $26.00 / $45.70	Professional		$14.18	$26.00	$45.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $9.46 / $75.00	Professional		$8.60	$9.46	$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 $30.72 / $65.05 / $99.39	Facility		$30.72	$65.05	$99.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.83 / $30.72 / $37.95	Professional		$27.83	$30.72	$37.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $25.47 / $46.52	Facility		$21.23	$25.47	$46.52
United Facility/Professional Facility Modifier Low / Median / High Price $84.93 / $84.93 / $84.93	Facility		$84.93	$84.93	$84.93
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $36.00	Professional		$30.00	$30.00	$36.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00