Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.11 / $11.60 / $12.11	Facility		$5.11	$11.60	$12.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $5.11 / $22.00	Professional		$2.61	$5.11	$22.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $5.87 / $5.87	Professional		$5.87	$5.87	$5.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7.90 / $80.00 / $80.00	Facility		$7.90	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.90 / $46.16	Professional		$6.17	$7.90	$46.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $5.57 / $5.57	Facility		$4.00	$5.57	$5.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $4.73 / $6.36	Professional		$4.73	$4.73	$6.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $7.63 / $9.81 / $16.95	Facility		$7.63	$9.81	$16.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $10.37 / $17.37	Professional		$7.63	$10.37	$17.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $6.91 / $7.60	Professional		$6.21	$6.91	$7.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.49 / $7.97 / $8.98	Facility		$6.49	$7.97	$8.98
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $8.16 / $9.02	Professional		$7.14	$8.16	$9.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.49 / $7.90 / $14.61	Facility		$7.49	$7.90	$14.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $8.55 / $12.97	Professional		$7.49	$8.55	$12.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $7.67 / $9.47	Professional		$7.16	$7.67	$9.47
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.93 / $7.50	Professional		$3.63	$3.93	$7.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $3.65 / $4.00	Professional		$3.65	$3.65	$4.00