Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $3.97 / $4.15	Facility		$1.75	$3.97	$4.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $1.75 / $4.20	Professional		$0.86	$1.75	$4.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2.71 / $80.00 / $80.00	Facility		$2.71	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $2.73 / $17.64	Professional		$2.17	$2.73	$17.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $1.85 / $2.29	Facility		$1.85	$1.85	$2.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $2.29	Professional		$1.57	$1.57	$2.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $3.18 / $5.51	Facility		$1.82	$3.18	$5.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $3.19 / $5.65	Professional		$1.86	$3.19	$5.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.36 / $2.59	Professional		$2.12	$2.36	$2.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $3.03 / $3.10	Facility		$2.45	$3.03	$3.10
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $3.10 / $3.26	Professional		$2.70	$3.10	$3.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.58 / $2.71 / $5.01	Facility		$2.58	$2.71	$5.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $2.94 / $4.45	Professional		$2.58	$2.94	$4.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.64 / $3.41	Professional		$2.45	$2.64	$3.41
United Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $1.50 / $2.50	Professional		$1.31	$1.50	$2.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $2.61 / $2.61	Professional		$1.39	$2.61	$2.61