Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $8.46 / $19.69	Professional		$6.78	$8.46	$19.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.68 / $80.00 / $85.00	Facility		$14.68	$80.00	$85.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $12.97 / $20.97	Professional		$8.63	$12.97	$20.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.65 / $10.65 / $13.97	Facility		$10.65	$10.65	$13.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $10.65 / $13.97	Professional		$9.05	$10.65	$13.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $15.64 / $15.64	Facility		$15.64	$15.64	$15.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $15.64 / $15.64	Professional		$15.64	$15.64	$15.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $15.90 / $19.13	Professional		$12.72	$15.90	$19.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $16.91 / $20.23	Facility		$15.64	$16.91	$20.23
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $16.91 / $19.05	Professional		$14.08	$16.91	$19.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.47 / $14.68 / $14.68	Facility		$1.47	$14.68	$14.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $12.91 / $17.47	Professional		$1.29	$12.91	$17.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.19 / $15.19 / $15.19	Facility		$15.19	$15.19	$15.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.40 / $1.70	Professional		$1.40	$1.40	$1.70
United Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $9.44 / $14.85	Professional		$7.73	$9.44	$14.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $12.97 / $13.38	Professional		$12.97	$12.97	$13.38