Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $5.15 / $5.38	Facility		$2.27	$5.15	$5.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $2.27 / $3.93	Professional		$1.23	$2.27	$3.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3.66 / $85.00 / $90.00	Facility		$3.66	$85.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $7.29 / $23.33	Professional		$3.66	$7.29	$23.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $34.00 / $34.00	Professional		$34.00	$34.00	$34.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2.79 / $5.80 / $8.07	Facility		$2.79	$5.80	$8.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $5.80 / $8.07	Professional		$3.39	$5.80	$8.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $85.00 / $93.50	Professional		$72.00	$85.00	$93.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $5.28 / $36.04	Facility		$4.40	$5.28	$36.04
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $36.04 / $36.04	Professional		$36.04	$36.04	$36.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.62 / $3.62 / $3.66	Facility		$3.62	$3.62	$3.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $5.99 / $7.26	Professional		$3.82	$5.99	$7.26
United Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $1.73 / $2.89	Professional		$1.55	$1.73	$2.89