Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $4.40 / $5.84	Facility		$3.88	$4.40	$5.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $3.88 / $4.54	Professional		$3.65	$3.88	$4.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3.96 / $6.05 / $85.00	Facility		$3.96	$6.05	$85.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $990.66 / $990.66	Professional		$3.79	$990.66	$990.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $3.95 / $9.58	Facility		$3.88	$3.95	$9.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $3.88 / $3.88	Professional		$3.88	$3.88	$3.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3.65 / $9.85 / $14.98	Facility		$3.65	$9.85	$14.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $9.66 / $14.98	Professional		$4.62	$9.66	$14.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.34 / $75.00	Professional		$3.80	$4.34	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $79,999.20 / $79,999.20	Facility		$4.30	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.37 / $3.96 / $9.07	Facility		$3.37	$3.96	$9.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $3.88 / $4.79	Professional		$3.51	$3.88	$4.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $4.97 / $8.97	Facility		$4.01	$4.97	$8.97
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $4.55	Professional		$3.80	$3.80	$4.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Professional		$3.80	$3.80	$3.80