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 $0.05 / $0.09 / $0.21	Professional		$0.05	$0.09	$0.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $15.00	Professional		$11.00	$11.00	$15.00
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 $0.13 / $0.14 / $3.54	Professional		$0.13	$0.14	$3.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.08	Professional		$0.08	$0.08	$0.08
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 $0.14 / $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 / $0.16	Professional		$0.14	$0.15	$0.16
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 / $0.23	Professional		$0.13	$0.15	$0.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.13 / $0.15	Professional		$0.12	$0.13	$0.15
United Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.08 / $0.13	Professional		$0.07	$0.08	$0.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.07 / $0.13	Professional		$0.07	$0.07	$0.13