Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $18.39 / $18.39	Facility		$18.39	$18.39	$18.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $18.39 / $18.39	Professional		$17.30	$18.39	$18.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $47.12 / $100.00	Facility		$17.00	$47.12	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $82.19 / $82.19 / $97.34	Professional		$82.19	$82.19	$97.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $18.39 / $36.78	Facility		$18.39	$18.39	$36.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.39 / $18.39	Professional		$18.39	$18.39	$18.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $63.66 / $63.66 / $63.66	Facility		$63.66	$63.66	$63.66
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 $14.47 / $19.55 / $40.70	Facility		$14.47	$19.55	$40.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00