Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.87 / $0.87 / $0.87	Facility		$0.87	$0.87	$0.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.82 / $0.87 / $0.87	Professional		$0.82	$0.87	$0.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $142.36 / $215.39 / $347.89	Facility		$142.36	$215.39	$347.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $60.62 / $141.37	Professional		$0.96	$60.62	$141.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $91.01 / $253.13 / $438.45	Facility		$91.01	$253.13	$438.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $100.00 / $100.00	Professional		$50.00	$100.00	$100.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $96.00 / $154.00 / $79,999.20	Facility		$96.00	$154.00	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.85 / $0.85 / $0.87	Facility		$0.85	$0.85	$0.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.92 / $1.02	Professional		$0.79	$0.92	$1.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $141.29 / $190.09 / $347.89	Facility		$141.29	$190.09	$347.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.85 / $0.85	Professional		$0.85	$0.85	$0.85