Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.49 / $3.36 / $6.23	Facility		$1.49	$3.36	$6.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.37 / $2.02	Professional		$1.35	$1.37	$2.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $85.00 / $100.00	Facility		$1.35	$85.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.43 / $610.54	Professional		$1.35	$1.43	$610.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.28 / $1.28 / $2.96	Facility		$1.28	$1.28	$2.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $1.66	Professional		$1.35	$1.35	$1.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $1.86 / $4.55	Facility		$1.35	$1.86	$4.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $2.04 / $4.50	Professional		$1.35	$2.04	$4.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $2.26 / $75.00	Professional		$1.48	$2.26	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $1.68 / $4.26	Facility		$1.35	$1.68	$4.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.77 / $1.77 / $1.95	Facility		$1.77	$1.77	$1.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.04 / $3.57	Professional		$1.95	$2.04	$3.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $1.35 / $1.35	Facility		$1.35	$1.35	$1.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $1.35 / $1.40	Professional		$1.28	$1.35	$1.40
United Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $1.62	Professional		$1.35	$1.35	$1.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $1.85	Professional		$1.35	$1.35	$1.85