Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.21 / $20.21 / $20.21	Facility		$20.21	$20.21	$20.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.02 / $20.21 / $20.21	Professional		$19.02	$20.21	$20.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $20.54 / $100.00	Facility		$10.19	$20.54	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $90.36 / $90.36 / $107.01	Professional		$90.36	$90.36	$107.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $40.19 / $40.19 / $40.19	Facility		$40.19	$40.19	$40.19
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 $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $11.50 / $23.94	Facility		$8.51	$11.50	$23.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11.96 / $11.96 / $13.16	Facility		$11.96	$11.96	$13.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $19.82 / $19.82	Professional		$19.82	$19.82	$19.82