Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $1.29 / $1.35	Facility		$0.56	$1.29	$1.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.56 / $0.99	Professional		$0.31	$0.56	$0.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $85.00 / $90.00	Facility		$1.29	$85.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $2.22 / $7.07	Professional		$0.94	$2.22	$7.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $3.83 / $3.83	Professional		$3.83	$3.83	$3.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $1.40 / $1.79	Facility		$0.62	$1.40	$1.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $1.40 / $1.79	Professional		$0.84	$1.40	$1.79
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 $1.10 / $1.29 / $1.34	Facility		$1.10	$1.29	$1.34
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $1.29	Professional		$1.29	$1.29	$1.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.91 / $0.91 / $0.91	Facility		$0.91	$0.91	$0.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $1.42 / $1.81	Professional		$0.94	$1.42	$1.81
United Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $0.43 / $0.72	Professional		$0.40	$0.43	$0.72