Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $0.34 / $0.86	Facility		$0.21	$0.34	$0.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.20 / $0.39	Professional		$0.19	$0.20	$0.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $85.00 / $100.00	Facility		$0.19	$85.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.20 / $224.77	Professional		$0.19	$0.20	$224.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.18 / $0.18 / $0.40	Facility		$0.18	$0.18	$0.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.19 / $0.23	Professional		$0.19	$0.19	$0.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.42 / $1.40	Facility		$0.19	$0.42	$1.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.45 / $1.40	Professional		$0.19	$0.45	$1.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $70.00 / $80.00	Professional		$30.00	$70.00	$80.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.22 / $0.56	Facility		$0.19	$0.22	$0.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.27 / $0.55 / $0.55	Facility		$0.27	$0.55	$0.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.27 / $0.35	Professional		$0.20	$0.27	$0.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.19 / $0.19	Facility		$0.19	$0.19	$0.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.19 / $0.20	Professional		$0.18	$0.19	$0.20
United Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.19 / $0.20	Professional		$0.19	$0.19	$0.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.19 / $0.19	Professional		$0.18	$0.19	$0.19