Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $0.30 / $0.70	Facility		$0.30	$0.30	$0.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.30 / $0.30	Professional		$0.28	$0.30	$0.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.84 / $1.34 / $90.00	Facility		$0.84	$1.34	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $4.33 / $5.85	Professional		$0.87	$4.33	$5.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.84 / $0.84 / $3.36	Facility		$0.84	$0.84	$3.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $0.84 / $1.03	Professional		$0.84	$0.84	$1.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.75 / $1.04 / $1.65	Facility		$0.75	$1.04	$1.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $1.01 / $1.57	Professional		$0.62	$1.01	$1.57
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
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.84 / $1.01 / $1.91	Facility		$0.84	$1.01	$1.91
United Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $0.84 / $0.84	Professional		$0.84	$0.84	$0.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $0.84 / $0.84	Professional		$0.84	$0.84	$0.84