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 $1.38 / $2.54 / $4.41	Professional		$1.38	$2.54	$4.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $85.00 / $90.00	Facility		$4.11	$85.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.11 / $8.16 / $26.18	Professional		$4.11	$8.16	$26.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $0.75 / $0.75	Professional		$0.75	$0.75	$0.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3.10 / $6.52 / $8.96	Facility		$3.10	$6.52	$8.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $6.52 / $8.96	Professional		$3.81	$6.52	$8.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $10.79 / $10.79	Professional		$8.82	$10.79	$10.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.25 / $5.48 / $6.03	Facility		$1.25	$5.48	$6.03
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $1.25 / $1.25	Professional		$1.25	$1.25	$1.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.08 / $4.08 / $4.11	Facility		$4.08	$4.08	$4.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $6.85 / $8.16	Professional		$4.30	$6.85	$8.16
United Facility/Professional Facility Modifier Low / Median / High Price $2.33 / $2.33 / $2.33	Facility		$2.33	$2.33	$2.33
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 $2.78 / $2.78 / $2.78	Professional		$2.78	$2.78	$2.78