Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $5.79 / $6.04	Facility		$2.54	$5.79	$6.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.53 / $2.54 / $4.41	Professional		$1.53	$2.54	$4.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $14.00 / $26.50	Professional		$0.13	$14.00	$26.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $1.30 / $2.47	Professional		$1.30	$1.30	$2.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3.69 / $6.52 / $8.43	Facility		$3.69	$6.52	$8.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $6.66 / $8.81	Professional		$3.81	$6.66	$8.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $8.19 / $30.00	Professional		$4.55	$8.19	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $5.95 / $7.08	Facility		$4.95	$5.95	$7.08
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Facility		$0.12	$0.12	$0.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.13 / $0.13	Professional		$0.11	$0.13	$0.13
United Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.95 / $3.25	Professional		$1.75	$1.95	$3.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $3.07 / $3.07	Professional		$3.07	$3.07	$3.07