Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $0.90 / $2.12	Facility		$0.90	$0.90	$2.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.90 / $0.90	Professional		$0.85	$0.90	$0.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.94 / $90.00 / $90.00	Facility		$0.94	$90.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $1.06 / $2.33	Professional		$0.88	$1.06	$2.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $0.90 / $1.80	Facility		$0.90	$0.90	$1.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $0.90 / $0.90	Professional		$0.90	$0.90	$0.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $1.88 / $4.74	Facility		$1.22	$1.88	$4.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.03 / $1.55 / $2.42	Professional		$1.03	$1.55	$2.42
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 $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.94 / $1.03 / $2.34	Facility		$0.94	$1.03	$2.34
United Facility/Professional Professional Modifier Low / Median / High Price $0.92 / $0.92 / $1.10	Professional		$0.92	$0.92	$1.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $0.89 / $0.89	Professional		$0.89	$0.89	$0.89