Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.66 / $17.42	Facility		$0.28	$0.66	$17.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.28 / $0.69	Professional		$0.17	$0.28	$0.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $37.00	Professional		$37.00	$37.00	$37.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.46 / $80.00 / $80.00	Facility		$0.46	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.44 / $0.45 / $4.28	Professional		$0.44	$0.45	$4.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.31 / $0.31	Professional		$0.31	$0.31	$0.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.41 / $0.70 / $0.89	Facility		$0.41	$0.70	$0.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.70 / $0.88	Professional		$0.42	$0.70	$0.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $60.00	Professional		$30.00	$60.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.43 / $0.52 / $0.62	Facility		$0.43	$0.52	$0.62
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $0.53 / $0.62	Professional		$0.48	$0.53	$0.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.44 / $0.46 / $0.86	Facility		$0.44	$0.46	$0.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.44 / $0.52 / $0.60	Professional		$0.44	$0.52	$0.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $0.45 / $0.53	Professional		$0.43	$0.45	$0.53
United Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $0.50 / $0.50	Facility		$0.50	$0.50	$0.50
United Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.31 / $0.50	Professional		$0.25	$0.31	$0.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.21 / $0.45	Professional		$0.21	$0.21	$0.45