Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $9.86 / $10.31	Facility		$4.34	$9.86	$10.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $7.04 / $13.60	Professional		$4.34	$7.04	$13.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $17.13 / $90.00	Facility		$10.40	$17.13	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $6.66 / $148.41	Professional		$6.32	$6.66	$148.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $3.11	Professional		$3.11	$3.11	$3.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $7.00 / $13.45 / $40.04	Facility		$7.00	$13.45	$40.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $13.24 / $40.04	Professional		$7.12	$13.24	$40.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $6.84 / $60.00	Professional		$6.68	$6.84	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.43 / $7.61 / $8.36	Facility		$7.43	$7.61	$8.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.66 / $13.32 / $19.76	Facility		$6.66	$13.32	$19.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $7.43 / $8.53	Professional		$6.32	$7.43	$8.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $6.47 / $7.61	Professional		$6.15	$6.47	$7.61
United Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.57 / $6.15	Professional		$3.23	$3.57	$6.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $6.47 / $7.61	Professional		$6.47	$6.47	$7.61