Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.20 / $0.21	Facility		$0.09	$0.20	$0.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.09 / $0.22	Professional		$0.06	$0.09	$0.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $80.00 / $80.00	Facility		$0.14	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.14 / $1.12	Professional		$0.11	$0.14	$1.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Facility		$0.09	$0.09	$0.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.12	Professional		$0.08	$0.08	$0.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.54 / $0.85	Facility		$0.14	$0.54	$0.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.54 / $0.84	Professional		$0.14	$0.54	$0.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $75.00 / $75.00	Professional		$60.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.15 / $0.17	Facility		$0.14	$0.15	$0.17
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.15 / $0.15	Professional		$0.14	$0.15	$0.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $0.14 / $0.25	Facility		$0.13	$0.14	$0.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.15 / $0.28	Professional		$0.13	$0.15	$0.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.13 / $0.17	Professional		$0.12	$0.13	$0.17
United Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.07 / $0.13	Professional		$0.07	$0.07	$0.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.08	Professional		$0.08	$0.08	$0.08