Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.43 / $0.45	Facility		$0.19	$0.43	$0.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.19 / $0.45	Professional		$0.11	$0.19	$0.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $34.00	Professional		$24.00	$24.00	$34.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $80.00 / $80.00	Facility		$0.28	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $25.00	Professional		$0.28	$0.28	$25.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.17 / $0.17	Professional		$0.17	$0.17	$0.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $0.70 / $0.89	Facility		$0.34	$0.70	$0.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.70 / $0.88	Professional		$0.34	$0.70	$0.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.33 / $0.39	Facility		$0.31	$0.33	$0.39
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.30 / $0.30	Professional		$0.27	$0.30	$0.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.28 / $0.55	Facility		$0.28	$0.28	$0.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.33 / $0.38	Professional		$0.28	$0.33	$0.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.28 / $0.36	Professional		$0.27	$0.28	$0.36
United Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.17 / $0.27	Professional		$0.14	$0.17	$0.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.14 / $0.28	Professional		$0.14	$0.14	$0.28