Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.64 / $0.66	Facility		$0.28	$0.64	$0.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.28 / $0.48	Professional		$0.15	$0.28	$0.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.46 / $85.00 / $90.00	Facility		$0.46	$85.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.46 / $1.12 / $10.28	Professional		$0.46	$1.12	$10.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $0.27	Professional		$0.27	$0.27	$0.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.41 / $0.70 / $0.89	Facility		$0.41	$0.70	$0.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.41 / $0.70 / $0.88	Professional		$0.41	$0.70	$0.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.55 / $0.61 / $0.67	Facility		$0.55	$0.61	$0.67
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $0.45 / $0.46	Facility		$0.45	$0.45	$0.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.46 / $0.66 / $0.91	Professional		$0.46	$0.66	$0.91
United Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.22 / $0.36	Professional		$0.19	$0.22	$0.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26