Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.62 / $0.78	Facility		$0.36	$0.62	$0.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.33 / $0.48	Professional		$0.32	$0.33	$0.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $85.00 / $100.00	Facility		$0.36	$85.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.32 / $4,027.60	Professional		$0.32	$0.32	$4,027.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.31 / $0.92	Facility		$0.31	$0.31	$0.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.32 / $0.40	Professional		$0.32	$0.32	$0.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.90 / $2.10	Facility		$0.32	$0.90	$2.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.91 / $1.97	Professional		$0.32	$0.91	$1.97
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 $0.31 / $0.32 / $0.60	Facility		$0.31	$0.32	$0.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.36 / $1.00	Facility		$0.36	$0.36	$1.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.41 / $0.56 / $0.74	Professional		$0.41	$0.56	$0.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.33 / $0.65	Facility		$0.32	$0.33	$0.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.32 / $0.33	Professional		$0.32	$0.32	$0.33
United Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.32 / $0.33	Professional		$0.32	$0.32	$0.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.32 / $0.38	Professional		$0.32	$0.32	$0.38