Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.74 / $13.74 / $1,909.44	Facility		$13.74	$13.74	$1,909.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $13.49 / $13.74	Professional		$12.49	$13.49	$13.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $12.45 / $100.00	Facility		$4.12	$12.45	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $12.49 / $6,184.50	Professional		$11.87	$12.49	$6,184.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.78 / $11.78 / $25.06	Facility		$11.78	$11.78	$25.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $15.32	Professional		$12.49	$12.49	$15.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10.93 / $12.49 / $20.47	Facility		$10.93	$12.49	$20.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $12.49 / $19.19	Professional		$10.93	$12.49	$19.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $60.00 / $75.00	Professional		$12.38	$60.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.36 / $12.49 / $25.69	Facility		$12.36	$12.49	$25.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.96 / $6.09 / $12.45	Facility		$3.96	$6.09	$12.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $13.54 / $22.93	Professional		$13.19	$13.54	$22.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8.17 / $12.49 / $12.49	Facility		$8.17	$12.49	$12.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $12.49 / $12.49	Professional		$11.87	$12.49	$12.49
United Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $14.99	Professional		$12.49	$12.49	$14.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $12.49 / $12.49	Professional		$12.48	$12.49	$12.49