Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.13 / $2.59 / $2.70	Facility		$1.13	$2.59	$2.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.61 / $1.14 / $2.73	Professional		$0.61	$1.14	$2.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1.76 / $80.00 / $80.00	Facility		$1.76	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $1.76 / $285.45	Professional		$1.67	$1.76	$285.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.82 / $0.82 / $0.82	Professional		$0.82	$0.82	$0.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1.68 / $2.90 / $4.48	Facility		$1.68	$2.90	$4.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $2.90 / $4.28	Professional		$1.69	$2.90	$4.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.69 / $60.00	Professional		$1.23	$1.69	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $2.00 / $2.31	Facility		$1.81	$2.00	$2.31
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $1.76 / $1.76	Professional		$1.76	$1.76	$1.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.67 / $1.76 / $3.25	Facility		$1.67	$1.76	$3.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $1.96 / $2.25	Professional		$1.67	$1.96	$2.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.71 / $2.00	Professional		$1.62	$1.71	$2.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $1.00 / $1.62	Professional		$0.81	$1.00	$1.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $0.83 / $1.71	Professional		$0.83	$0.83	$1.71