Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.80 / $2.80 / $2.80	Facility		$2.80	$2.80	$2.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.79 / $2.80	Professional		$2.54	$2.79	$2.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $3.08 / $100.00	Facility		$1.73	$3.08	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $11.23	Professional		$2.54	$2.54	$11.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.40 / $5.09	Facility		$2.40	$2.40	$5.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $3.12	Professional		$2.54	$2.54	$3.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $2.54 / $3.43	Facility		$2.54	$2.54	$3.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $3.43	Professional		$2.54	$2.54	$3.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $75.00	Professional		$30.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $2.56 / $4.80	Facility		$2.54	$2.56	$4.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $2.59 / $4.05	Facility		$1.66	$2.59	$4.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $3.00 / $4.92	Professional		$2.76	$3.00	$4.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $2.54 / $3.08	Facility		$2.54	$2.54	$3.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $2.54 / $2.54	Professional		$2.41	$2.54	$2.54
United Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $2.62	Professional		$2.54	$2.54	$2.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $2.54	Professional		$2.54	$2.54	$2.54