Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.43 / $13.68 / $21.61	Facility		$11.43	$13.68	$21.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.70 / $13.68	Professional		$10.39	$10.70	$13.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $15.60 / $100.00	Facility		$10.40	$15.60	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $11.43 / $796.88	Professional		$10.39	$11.43	$796.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $10.39 / $25.24	Facility		$9.80	$10.39	$25.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $12.74	Professional		$10.39	$10.39	$12.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6.72 / $11.19 / $28.04	Facility		$6.72	$11.19	$28.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $11.19 / $24.25	Professional		$6.72	$11.19	$24.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $11.45 / $75.00	Professional		$10.39	$11.45	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $11.77 / $31.17	Facility		$10.39	$11.77	$31.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.36 / $16.64 / $29.13	Facility		$9.36	$16.64	$29.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $13.26 / $23.96	Professional		$11.00	$13.26	$23.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $12.48 / $23.16	Facility		$10.40	$12.48	$23.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $11.43 / $12.47	Professional		$10.39	$11.43	$12.47
United Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $12.47	Professional		$10.39	$10.39	$12.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $10.41	Professional		$10.39	$10.39	$10.41