Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.29 / $7.33 / $11.92	Facility		$6.29	$7.33	$11.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.90 / $7.46	Professional		$5.73	$5.90	$7.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5.74 / $8.61 / $95.00	Facility		$5.74	$8.61	$95.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $6.30 / $25.32	Professional		$5.73	$6.30	$25.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.41 / $5.73 / $13.90	Facility		$5.41	$5.73	$13.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $7.03	Professional		$5.73	$5.73	$7.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $7.20 / $17.18	Facility		$5.73	$7.20	$17.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $7.20 / $14.06	Professional		$5.73	$7.20	$14.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $6.87 / $75.00	Professional		$5.73	$6.87	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $6.59 / $17.19	Facility		$5.73	$6.59	$17.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.16 / $8.77 / $16.05	Facility		$5.16	$8.77	$16.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $7.30 / $13.20	Professional		$6.06	$7.30	$13.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5.74 / $6.89 / $12.78	Facility		$5.74	$6.89	$12.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $6.30 / $6.88	Professional		$5.73	$6.30	$6.88
United Facility/Professional Facility Modifier Low / Median / High Price $13.47 / $13.47 / $13.47	Facility		$13.47	$13.47	$13.47
United Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $6.88	Professional		$5.73	$5.73	$6.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $5.73	Professional		$5.73	$5.73	$5.73