Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.21 / $2.68 / $5.08	Facility		$1.21	$2.68	$5.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $2.54 / $2.80	Professional		$1.62	$2.54	$2.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2.79 / $85.00 / $100.00	Facility		$2.79	$85.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.79 / $853.09	Professional		$2.40	$2.79	$853.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.40 / $2.54	Facility		$2.40	$2.40	$2.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $3.12	Professional		$2.54	$2.54	$3.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1.44 / $2.54 / $4.68	Facility		$1.44	$2.54	$4.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $2.54 / $3.75	Professional		$1.26	$2.54	$3.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $1.52 / $30.00	Professional		$1.34	$1.52	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.94 / $2.54 / $4.01	Facility		$0.94	$2.54	$4.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $3.49 / $3.49	Facility		$2.69	$3.49	$3.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $2.40 / $4.09	Professional		$1.98	$2.40	$4.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2.13 / $2.79 / $2.79	Facility		$2.13	$2.79	$2.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.79 / $3.05	Professional		$2.54	$2.79	$3.05
United Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $3.18	Professional		$2.54	$2.54	$3.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.54 / $2.54	Professional		$1.78	$2.54	$2.54