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 $0.15 / $0.28 / $0.48	Professional		$0.15	$0.28	$0.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $126.17 / $126.17	Facility		$75.00	$126.17	$126.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.44 / $0.91 / $3.54	Professional		$0.44	$0.91	$3.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.57 / $0.57 / $0.57	Professional		$0.57	$0.57	$0.57
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 $0.53 / $0.61 / $0.67	Facility		$0.53	$0.61	$0.67
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $0.53 / $0.53 / $0.53	Professional		$0.53	$0.53	$0.53
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 $0.20 / $0.22 / $0.36	Professional		$0.20	$0.22	$0.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.31	Professional		$0.15	$0.15	$0.31