Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.50 / $0.52	Facility		$0.22	$0.50	$0.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.22 / $0.52	Professional		$0.12	$0.22	$0.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Professional		$27.00	$27.00	$27.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $80.00 / $80.00	Facility		$0.34	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.34 / $2.85	Professional		$0.32	$0.34	$2.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Professional		$0.20	$0.20	$0.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.39 / $0.70 / $0.89	Facility		$0.39	$0.70	$0.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.70 / $0.88	Professional		$0.39	$0.70	$0.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $60.00	Professional		$30.00	$60.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.38 / $0.43	Facility		$0.33	$0.38	$0.43
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.39 / $0.39	Professional		$0.34	$0.39	$0.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.34 / $0.63	Facility		$0.32	$0.34	$0.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.38 / $0.44	Professional		$0.32	$0.38	$0.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.33 / $0.39	Professional		$0.31	$0.33	$0.39
United Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.19 / $0.31	Professional		$0.16	$0.19	$0.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.33	Professional		$0.18	$0.18	$0.33