Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $3.86 / $4.03	Facility		$1.70	$3.86	$4.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.92 / $1.70 / $2.94	Professional		$0.92	$1.70	$2.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2.74 / $85.00 / $90.00	Facility		$2.74	$85.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.74 / $5.71 / $17.67	Professional		$2.74	$5.71	$17.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $1.65 / $1.65	Professional		$0.87	$1.65	$1.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2.46 / $4.34 / $5.30	Facility		$2.46	$4.34	$5.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $4.44 / $5.79	Professional		$2.54	$4.44	$5.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $5.16 / $30.00	Professional		$2.87	$5.16	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.30 / $3.96 / $5.16	Facility		$3.30	$3.96	$5.16
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5.16 / $5.16 / $5.16	Professional		$5.16	$5.16	$5.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $2.72 / $2.74	Facility		$2.72	$2.72	$2.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $4.36 / $5.44	Professional		$2.82	$4.36	$5.44
United Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.30 / $2.17	Professional		$1.15	$1.30	$2.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $5.60 / $5.60	Professional		$5.60	$5.60	$5.60