Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $12.76 / $13.32	Facility		$5.62	$12.76	$13.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $5.65 / $13.38	Professional		$3.83	$5.65	$13.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13.47 / $21.16 / $90.00	Facility		$13.47	$21.16	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $8.63 / $79.51	Professional		$8.18	$8.63	$79.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $4.01	Professional		$4.01	$4.01	$4.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $14.06 / $21.98	Facility		$8.06	$14.06	$21.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $14.40 / $21.98	Professional		$9.11	$14.40	$21.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $9.85 / $60.00	Professional		$8.65	$9.85	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $9.85 / $10.84	Facility		$9.61	$9.85	$10.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.63 / $17.26 / $25.59	Facility		$8.63	$17.26	$25.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $9.61 / $11.06	Professional		$8.18	$9.61	$11.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $8.36 / $9.85	Professional		$7.95	$8.36	$9.85
United Facility/Professional Professional Modifier Low / Median / High Price $4.18 / $4.91 / $7.97	Professional		$4.18	$4.91	$7.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $8.36 / $9.85	Professional		$8.36	$8.36	$9.85