Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.94 / $8.75 / $12.95	Facility		$2.94	$8.75	$12.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $2.94 / $2.94	Professional		$1.10	$2.94	$2.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $15.00 / $24.20	Facility		$10.00	$15.00	$24.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $9.69 / $11.18	Professional		$1.10	$9.69	$11.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $10.81 / $10.81	Professional		$10.81	$10.81	$10.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $29.62 / $91.50	Facility		$10.00	$29.62	$91.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $16.05 / $16.05	Professional		$16.05	$16.05	$16.05
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 $10.00 / $79,999.20 / $79,999.20	Facility		$10.00	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $16.50 / $28.00	Facility		$9.00	$16.50	$28.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $12.50 / $24.90	Facility		$10.00	$12.50	$24.90
United Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.13 / $0.13	Professional		$0.13	$0.13	$0.13