Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.64 / $0.66	Facility		$0.28	$0.64	$0.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.28 / $0.47	Professional		$0.14	$0.28	$0.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Professional		$5.25	$5.25	$5.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.46 / $85.00 / $100.00	Facility		$0.46	$85.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.37 / $0.91 / $12.00	Professional		$0.37	$0.91	$12.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.72 / $0.72	Professional		$0.72	$0.72	$0.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.41 / $0.70 / $0.88	Facility		$0.41	$0.70	$0.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.41 / $0.70 / $0.88	Professional		$0.41	$0.70	$0.88
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 $0.13 / $0.61 / $0.67	Facility		$0.13	$0.61	$0.67
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.13 / $0.13	Professional		$0.13	$0.13	$0.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $0.45 / $0.46	Facility		$0.45	$0.45	$0.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.46 / $0.66 / $0.91	Professional		$0.46	$0.66	$0.91
United Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.22 / $0.36	Professional		$0.19	$0.22	$0.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.22	Professional		$0.15	$0.15	$0.22