Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.88 / $13.35 / $13.94	Facility		$5.88	$13.35	$13.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $7.60 / $13.98	Professional		$5.88	$7.60	$13.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.07 / $22.11 / $90.00	Facility		$14.07	$22.11	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $9.02 / $173.14	Professional		$8.53	$9.02	$173.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $4.20 / $4.20	Professional		$4.20	$4.20	$4.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $18.12 / $46.72	Facility		$10.00	$18.12	$46.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $18.48 / $46.72	Professional		$10.18	$18.48	$46.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.04 / $10.29 / $60.00	Professional		$9.04	$10.29	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.05 / $10.29 / $11.32	Facility		$10.05	$10.29	$11.32
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $8.17 / $8.17	Professional		$8.17	$8.17	$8.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $18.04 / $26.73	Facility		$9.02	$18.04	$26.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $10.05 / $11.56	Professional		$8.53	$10.05	$11.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.31 / $8.75 / $10.29	Professional		$8.31	$8.75	$10.29
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $6.55 / $8.33	Professional		$4.37	$6.55	$8.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $10.29	Professional		$8.75	$8.75	$10.29