Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.22 / $13.28 / $327.39	Facility		$8.22	$13.28	$327.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $8.30 / $11.28	Professional		$8.22	$8.30	$11.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9.03 / $85.00 / $100.00	Facility		$9.03	$85.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $9.83 / $104.94	Professional		$8.22	$9.83	$104.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.76 / $16.39	Facility		$7.76	$7.76	$16.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $8.22 / $10.08	Professional		$8.22	$8.22	$10.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $8.22 / $12.86	Facility		$5.01	$8.22	$12.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.22 / $13.20	Professional		$5.01	$8.22	$13.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $9.02 / $30.00	Professional		$8.19	$9.02	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $9.31 / $17.10	Facility		$7.86	$9.31	$17.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.83 / $12.67 / $12.67	Facility		$9.83	$12.67	$12.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $10.61 / $19.18	Professional		$9.27	$10.61	$19.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9.03 / $9.03 / $9.03	Facility		$9.03	$9.03	$9.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $9.03 / $9.86	Professional		$8.22	$9.03	$9.86
United Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $8.22 / $9.86	Professional		$8.22	$8.22	$9.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $8.22 / $8.33	Professional		$8.22	$8.22	$8.33