Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.92 / $8.88 / $15.36	Facility		$3.92	$8.88	$15.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $7.76 / $9.73	Professional		$7.45	$7.76	$9.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $766.84 / $974.99	Facility		$8.44	$766.84	$974.99
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $8.77 / $397.52	Professional		$7.68	$8.77	$397.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.25 / $7.25 / $13.18	Facility		$7.25	$7.25	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $7.68 / $9.42	Professional		$7.68	$7.68	$9.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $7.68 / $14.21 / $35.15	Facility		$7.68	$14.21	$35.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $15.50 / $36.25	Professional		$7.68	$15.50	$36.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $7.24 / $30.00	Professional		$2.15	$7.24	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.96 / $7.68 / $15.97	Facility		$1.96	$7.68	$15.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.82 / $21.41 / $21.41	Facility		$9.82	$21.41	$21.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $8.77 / $14.96	Professional		$7.23	$8.77	$14.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $8.44 / $8.44	Facility		$8.44	$8.44	$8.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $8.44 / $9.22	Professional		$7.68	$8.44	$9.22
United Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $7.68 / $9.22	Professional		$7.68	$7.68	$9.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $7.68 / $7.68	Professional		$6.50	$7.68	$7.68