Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $367.55 / $999.70	Facility		$2.75	$367.55	$999.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $2.75 / $3.24	Professional		$2.59	$2.75	$3.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7.95 / $13.27 / $100.00	Facility		$7.95	$13.27	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $2,178.56 / $2,178.56	Professional		$4.79	$2,178.56	$2,178.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $9.58 / $72.20	Facility		$2.75	$9.58	$72.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Professional		$2.75	$2.75	$2.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8.08 / $20.13 / $34.88	Facility		$8.08	$20.13	$34.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $6.02 / $6.02	Professional		$6.02	$6.02	$6.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $80.00	Professional		$50.00	$50.00	$80.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $79,999.20 / $79,999.20	Facility		$12.00	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $12.72 / $22.26	Facility		$6.76	$12.72	$22.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.35 / $5.35 / $5.35	Professional		$5.35	$5.35	$5.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7.72 / $10.14 / $18.80	Facility		$7.72	$10.14	$18.80
United Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $2.70 / $2.97	Professional		$2.70	$2.70	$2.97