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 $0.64 / $85.00 / $90.00	Facility		$0.64	$85.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $40.00 / $40.00	Professional		$0.26	$40.00	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.41 / $0.70 / $0.89	Facility		$0.41	$0.70	$0.89
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 $0.40 / $0.61 / $0.67	Facility		$0.40	$0.61	$0.67
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $0.40 / $0.40	Professional		$0.40	$0.40	$0.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.47 / $0.47 / $0.47	Facility		$0.47	$0.47	$0.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.41 / $0.47 / $0.48	Professional		$0.41	$0.47	$0.48
United Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.27 / $0.43	Professional		$0.22	$0.27	$0.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Professional		$0.20	$0.20	$0.20