Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $0.90 / $378.00	Facility		$0.50	$0.90	$378.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.50 / $16.55	Professional		$0.45	$0.50	$16.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $85.00 / $100.00	Facility		$0.45	$85.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.45 / $11,271.93	Professional		$0.32	$0.45	$11,271.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $0.42 / $0.82	Facility		$0.42	$0.42	$0.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.45 / $0.55	Professional		$0.45	$0.45	$0.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.43 / $0.50 / $0.88	Facility		$0.43	$0.50	$0.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.49 / $0.83	Professional		$0.42	$0.49	$0.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $75.00 / $75.00	Professional		$70.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.44 / $0.56 / $1.35	Facility		$0.44	$0.56	$1.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $0.34 / $0.34	Facility		$0.34	$0.34	$0.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $0.78	Professional		$0.34	$0.34	$0.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $0.45 / $0.45	Facility		$0.45	$0.45	$0.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $0.45 / $0.47	Professional		$0.43	$0.45	$0.47
United Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $0.96 / $0.96	Facility		$0.96	$0.96	$0.96
United Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.45 / $0.50	Professional		$0.45	$0.45	$0.50