Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.75 / $1.70 / $1.78	Facility		$0.75	$1.70	$1.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.75 / $1.78	Professional		$0.39	$0.75	$1.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1.30 / $75.00 / $80.00	Facility		$1.30	$75.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.17 / $9.75	Professional		$1.11	$1.17	$9.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.68 / $0.68	Professional		$0.68	$0.68	$0.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1.27 / $2.10 / $3.03	Facility		$1.27	$2.10	$3.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $2.10 / $3.03	Professional		$1.27	$2.10	$3.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.91 / $1.12 / $1.12	Professional		$0.91	$1.12	$1.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.05 / $1.30 / $1.46	Facility		$1.05	$1.30	$1.46
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.33 / $1.33	Professional		$1.05	$1.33	$1.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.11 / $1.17 / $2.16	Facility		$1.11	$1.17	$2.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.30 / $1.49	Professional		$1.11	$1.30	$1.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.12 / $1.33	Professional		$1.07	$1.12	$1.33
United Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.68 / $1.08	Professional		$0.54	$0.68	$1.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $0.59 / $1.12	Professional		$0.59	$0.59	$1.12