Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.07 / $0.07	Facility		$0.03	$0.07	$0.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $0.07	Professional		$0.02	$0.03	$0.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $80.00 / $80.00	Facility		$0.05	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.05 / $565.54	Professional		$0.04	$0.05	$565.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.69 / $0.88	Facility		$0.31	$0.69	$0.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.69 / $0.88	Professional		$0.31	$0.69	$0.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $0.06	Facility		$0.05	$0.05	$0.06
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.06	Professional		$0.05	$0.05	$0.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.05 / $0.08	Facility		$0.04	$0.05	$0.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.05 / $0.09	Professional		$0.04	$0.05	$0.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.04 / $0.05	Professional		$0.04	$0.04	$0.05
United Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Professional		$0.02	$0.02	$0.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.04	Professional		$0.03	$0.03	$0.04