Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.09 / $0.93	Facility		$0.09	$0.09	$0.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.09 / $0.09	Professional		$0.08	$0.09	$0.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $85.00 / $100.00	Facility		$0.09	$85.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.42 / $64.58	Professional		$0.08	$0.42	$64.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.09 / $0.18	Facility		$0.04	$0.09	$0.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Professional		$0.09	$0.09	$0.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $0.65 / $1.41	Facility		$0.34	$0.65	$1.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.65 / $1.41	Professional		$0.31	$0.65	$1.41
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 $0.08 / $0.08 / $0.09	Facility		$0.08	$0.08	$0.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.09 / $0.10	Professional		$0.08	$0.09	$0.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $0.42 / $0.42	Facility		$0.42	$0.42	$0.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $0.42 / $0.42	Professional		$0.40	$0.42	$0.42
United Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.10	Professional		$0.08	$0.08	$0.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.08	Professional		$0.08	$0.08	$0.08