Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $2.57 / $2.68	Facility		$1.12	$2.57	$2.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.61 / $1.12 / $1.95	Professional		$0.61	$1.12	$1.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1.83 / $85.00 / $90.00	Facility		$1.83	$85.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $3.81 / $12.37	Professional		$1.88	$3.81	$12.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.22	Professional		$1.22	$1.22	$1.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $2.90 / $4.48	Facility		$1.55	$2.90	$4.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $2.90 / $4.28	Professional		$1.69	$2.90	$4.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.20 / $2.64 / $2.68	Facility		$2.20	$2.64	$2.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $1.81 / $1.83	Facility		$1.81	$1.81	$1.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $2.83 / $3.64	Professional		$1.88	$2.83	$3.64
United Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $0.86 / $1.44	Professional		$0.77	$0.86	$1.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.37 / $2.37	Professional		$2.37	$2.37	$2.37