Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $7.46 / $5,423.10	Facility		$3.57	$7.46	$5,423.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.51 / $102.67	Professional		$4.36	$4.51	$102.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $9.84 / $359.05	Facility		$5.62	$9.84	$359.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.80 / $2,120.40	Professional		$4.36	$4.80	$2,120.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $4.36 / $12.78	Facility		$4.11	$4.36	$12.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.36 / $5.34	Professional		$4.36	$4.36	$5.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $51.41 / $158.05	Facility		$4.36	$51.41	$158.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $59.21 / $141.34	Professional		$4.36	$59.21	$141.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $4.36 / $30.00	Professional		$3.77	$4.36	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.73 / $4.66 / $13.08	Facility		$3.73	$4.66	$13.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.93 / $7.96 / $44.29	Facility		$3.93	$7.96	$44.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $7.11 / $12.13	Professional		$5.86	$7.11	$12.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $8.43 / $59.48	Facility		$5.62	$8.43	$59.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.80 / $5.23	Professional		$4.36	$4.80	$5.23
United Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.36 / $5.23	Professional		$4.36	$4.36	$5.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.36 / $5.27	Professional		$4.36	$4.36	$5.27