Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.92 / $205.76 / $468.64	Facility		$1.92	$205.76	$468.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $1.92 / $2.60	Professional		$1.73	$1.92	$2.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $2.87 / $2.87	Professional		$2.87	$2.87	$2.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $5.43 / $100.00	Facility		$1.74	$5.43	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $12.00	Professional		$1.74	$1.74	$12.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $1.64 / $1.74	Facility		$1.64	$1.64	$1.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $2.14	Professional		$1.74	$1.74	$2.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $2.85 / $6.27	Facility		$1.74	$2.85	$6.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $3.18 / $6.00	Professional		$1.74	$3.18	$6.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $1.91 / $2.00	Professional		$1.91	$1.91	$2.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $2.25 / $5.22	Facility		$1.74	$2.25	$5.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.99 / $5.99 / $5.99	Facility		$5.99	$5.99	$5.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $5.99 / $5.99	Professional		$3.35	$5.99	$5.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Facility		$1.74	$1.74	$1.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $1.74 / $1.74	Professional		$1.65	$1.74	$1.74
United Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $2.09	Professional		$1.74	$1.74	$2.09