Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $2.79 / $39.61	Facility		$0.35	$2.79	$39.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.35 / $0.36	Professional		$0.33	$0.35	$0.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.50 / $100.00	Facility		$0.14	$0.50	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.50 / $42.10	Professional		$0.36	$0.50	$42.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.35 / $0.70	Facility		$0.12	$0.35	$0.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.35 / $0.35	Professional		$0.35	$0.35	$0.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.56 / $0.85	Facility		$0.31	$0.56	$0.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.56 / $0.82	Professional		$0.31	$0.56	$0.82
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 $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $0.34 / $0.35	Facility		$0.34	$0.34	$0.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.37 / $0.41	Professional		$0.32	$0.37	$0.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $0.50 / $0.50	Facility		$0.50	$0.50	$0.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $0.50 / $0.50	Professional		$0.48	$0.50	$0.50
United Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $0.35	Professional		$0.34	$0.34	$0.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.35 / $0.35	Professional		$0.35	$0.35	$0.35