Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.10 / $11.10 / $11.10	Facility		$11.10	$11.10	$11.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $11.10 / $11.56	Professional		$10.09	$11.10	$11.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $85.00 / $85.00	Facility		$10.09	$85.00	$85.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $75.59	Professional		$10.09	$10.09	$75.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $9.52 / $24.26	Facility		$9.52	$9.52	$24.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $12.38	Professional		$10.09	$10.09	$12.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $10.09 / $13.62	Facility		$10.09	$10.09	$13.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $13.62	Professional		$10.09	$10.09	$13.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $10.61 / $20.95	Facility		$10.09	$10.61	$20.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $32.36 / $32.36	Facility		$17.98	$32.36	$32.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.93 / $14.95 / $23.04	Professional		$12.93	$14.95	$23.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $10.09 / $10.09	Facility		$10.09	$10.09	$10.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $10.09 / $10.09	Professional		$9.59	$10.09	$10.09
United Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $12.13 / $12.13	Facility		$12.13	$12.13	$12.13
United Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $12.11	Professional		$10.09	$10.09	$12.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $11.91	Professional		$10.09	$10.09	$11.91