Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.13 / $16.19 / $16.89	Facility		$7.13	$16.19	$16.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $7.13 / $16.96	Professional		$4.94	$7.13	$16.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $26.84 / $90.00	Facility		$17.07	$26.84	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $10.94 / $98.94	Professional		$10.37	$10.94	$98.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $5.09	Professional		$5.09	$5.09	$5.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10.18 / $17.76 / $27.84	Facility		$10.18	$17.76	$27.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $18.23 / $27.84	Professional		$11.04	$18.23	$27.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $12.49 / $60.00	Professional		$10.98	$12.49	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.20 / $12.49 / $13.74	Facility		$12.20	$12.49	$13.74
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $9.93 / $9.93	Professional		$9.93	$9.93	$9.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.94 / $21.88 / $32.45	Facility		$10.94	$21.88	$32.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $12.20 / $14.03	Professional		$10.37	$12.20	$14.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.62 / $12.49	Professional		$10.09	$10.62	$12.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $6.23 / $10.11	Professional		$5.30	$6.23	$10.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $12.49	Professional		$10.62	$10.62	$12.49