Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $1.25 / $1.54	Facility		$0.88	$1.25	$1.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $0.96	Professional		$0.80	$0.80	$0.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $85.00 / $85.00	Facility		$1.22	$85.00	$85.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $17.01	Professional		$0.80	$0.80	$17.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.75 / $0.75 / $0.75	Facility		$0.75	$0.75	$0.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $0.98	Professional		$0.80	$0.80	$0.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $0.80 / $4.12	Facility		$0.80	$0.80	$4.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $1.00	Professional		$0.80	$0.80	$1.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $75.00	Professional		$30.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.74 / $0.80 / $1.28	Facility		$0.74	$0.80	$1.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $1.22 / $1.22	Facility		$1.22	$1.22	$1.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $1.21 / $1.56	Professional		$0.87	$1.21	$1.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $0.82 / $1.63	Facility		$0.80	$0.82	$1.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.80 / $0.83	Professional		$0.76	$0.80	$0.83
United Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $0.80	Professional		$0.80	$0.80	$0.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $0.80	Professional		$0.80	$0.80	$0.80