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 $0.04 / $0.28 / $0.48	Professional		$0.04	$0.28	$0.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $85.00 / $90.00	Facility		$0.13	$85.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $2.93 / $5.31	Professional		$0.11	$2.93	$5.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.06 / $0.06	Professional		$0.06	$0.06	$0.06
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 $30.00 / $60.00 / $60.00	Professional		$30.00	$60.00	$60.00
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 $0.09 / $0.13 / $0.13	Facility		$0.09	$0.13	$0.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.10 / $0.12	Professional		$0.09	$0.10	$0.12
United Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Facility		$0.11	$0.11	$0.11
United Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.07 / $0.12	Professional		$0.06	$0.07	$0.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Professional		$0.05	$0.05	$0.05