Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.48 / $0.48 / $1.12	Facility		$0.48	$0.48	$1.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.48 / $0.48	Professional		$0.45	$0.48	$0.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.48 / $85.00 / $100.00	Facility		$0.48	$85.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $1.52 / $218.35	Professional		$0.55	$1.52	$218.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.48 / $0.48 / $2.20	Facility		$0.48	$0.48	$2.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $0.48 / $0.48	Professional		$0.48	$0.48	$0.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.55 / $0.96 / $1.65	Facility		$0.55	$0.96	$1.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $0.96 / $1.57	Professional		$0.55	$0.96	$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
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.46 / $0.46 / $0.48	Facility		$0.46	$0.46	$0.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $0.50 / $0.56	Professional		$0.43	$0.50	$0.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $1.52 / $1.52	Facility		$1.52	$1.52	$1.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $1.52 / $1.52	Professional		$1.44	$1.52	$1.52
United Facility/Professional Facility Modifier Low / Median / High Price $1.53 / $1.53 / $1.53	Facility		$1.53	$1.53	$1.53
United Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $0.47 / $0.47	Professional		$0.47	$0.47	$0.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $0.47 / $0.47	Professional		$0.47	$0.47	$0.47