Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.48 / $0.79 / $1.13	Facility		$0.48	$0.79	$1.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.48 / $1.13	Professional		$0.39	$0.48	$1.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.64 / $80.00 / $80.00	Facility		$0.64	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.75 / $5.40	Professional		$0.54	$0.75	$5.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $0.42 / $0.42	Facility		$0.42	$0.42	$0.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.36 / $0.42	Professional		$0.36	$0.36	$0.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $0.74 / $2.00	Facility		$0.42	$0.74	$2.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.41 / $0.70 / $1.20	Professional		$0.41	$0.70	$1.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $75.00 / $75.00	Professional		$60.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.67 / $0.74 / $0.77	Facility		$0.67	$0.74	$0.77
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.57 / $0.57	Professional		$0.52	$0.57	$0.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.64 / $0.83 / $1.44	Facility		$0.64	$0.83	$1.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.61 / $0.61 / $0.61	Professional		$0.61	$0.61	$0.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.70 / $0.72 / $0.72	Facility		$0.70	$0.72	$0.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.81 / $0.81	Professional		$0.54	$0.81	$0.81
United Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.50 / $0.64	Professional		$0.34	$0.50	$0.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $0.63 / $0.63	Professional		$0.59	$0.63	$0.63