Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.03 / $9.15 / $9.55	Facility		$4.03	$9.15	$9.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $4.03 / $9.66	Professional		$2.00	$4.03	$9.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.98 / $7.12	Professional		$4.09	$4.98	$7.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6.23 / $80.00 / $80.00	Facility		$6.23	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $6.27 / $35.46	Professional		$5.00	$6.27	$35.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.28 / $4.28 / $4.53	Facility		$4.28	$4.28	$4.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $3.64 / $5.03	Professional		$3.64	$3.64	$5.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $7.19 / $12.60	Facility		$4.09	$7.19	$12.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $7.26 / $12.70	Professional		$4.34	$7.26	$12.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $5.46 / $6.00	Professional		$4.91	$5.46	$6.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.39 / $6.95 / $7.12	Facility		$6.39	$6.95	$7.12
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $7.12 / $7.12	Professional		$6.39	$7.12	$7.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.91 / $6.23 / $11.52	Facility		$5.91	$6.23	$11.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $6.74 / $10.22	Professional		$5.91	$6.74	$10.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $6.05 / $7.83	Professional		$5.66	$6.05	$7.83
United Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $3.02 / $5.75	Professional		$2.80	$3.02	$5.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $4.16 / $4.16	Professional		$3.57	$4.16	$4.16