Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $0.56 / $1.29	Facility		$0.56	$0.56	$1.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.53 / $0.70	Professional		$0.36	$0.53	$0.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $90.00 / $90.00	Facility		$80.00	$90.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.53 / $1.90 / $5.85	Professional		$0.53	$1.90	$5.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.11 / $1.11	Professional		$1.11	$1.11	$1.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $1.12 / $1.70	Facility		$0.62	$1.12	$1.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $1.09 / $1.68	Professional		$0.62	$1.09	$1.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $75.00	Professional		$30.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.32 / $2.38	Facility		$1.10	$1.32	$2.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $2.38 / $2.38	Professional		$2.38	$2.38	$2.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $1.42 / $1.84	Professional		$0.94	$1.42	$1.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.41 / $2.02	Professional		$1.35	$1.41	$2.02
United Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.43 / $0.72	Professional		$0.28	$0.43	$0.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Professional		$0.28	$0.28	$0.28