Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.63 / $3.70 / $3.86	Facility		$1.63	$3.70	$3.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $1.63 / $3.91	Professional		$0.81	$1.63	$3.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $80.00 / $80.00	Facility		$2.52	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.57 / $14.34	Professional		$2.08	$2.57	$14.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $1.73 / $2.14	Facility		$1.73	$1.73	$2.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $1.47 / $2.14	Professional		$1.47	$1.47	$2.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $2.88 / $4.72	Facility		$1.55	$2.88	$4.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $2.94 / $4.94	Professional		$1.68	$2.94	$4.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.50 / $3.05	Professional		$2.18	$2.50	$3.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.81 / $2.88	Facility		$2.29	$2.81	$2.88
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.88 / $2.88	Professional		$2.29	$2.88	$2.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.39 / $2.52 / $4.66	Facility		$2.39	$2.52	$4.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $2.73 / $4.13	Professional		$2.39	$2.73	$4.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.45 / $3.17	Professional		$2.29	$2.45	$3.17
United Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.43 / $2.33	Professional		$1.22	$1.43	$2.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $1.27 / $1.84	Professional		$1.27	$1.27	$1.84