Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.65 / $69.62 / $422.61	Facility		$1.65	$69.62	$422.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $2.00 / $311.44	Professional		$1.48	$2.00	$311.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $2.46 / $4.84	Professional		$2.44	$2.46	$4.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $2.62 / $100.00	Facility		$1.48	$2.62	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $22.14	Professional		$1.48	$1.48	$22.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.39 / $1.39 / $1.48	Facility		$1.39	$1.39	$1.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $1.81	Professional		$1.48	$1.48	$1.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $2.43 / $4.72	Facility		$1.48	$2.43	$4.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $2.65 / $5.14	Professional		$1.48	$2.65	$5.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $1.61 / $1.63	Professional		$1.30	$1.61	$1.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.47 / $1.91 / $4.44	Facility		$1.47	$1.91	$4.44
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 $2.73 / $5.99 / $5.99	Professional		$2.73	$5.99	$5.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $1.48 / $1.48	Facility		$1.48	$1.48	$1.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.48 / $1.48	Professional		$1.41	$1.48	$1.48
United Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $1.78	Professional		$1.48	$1.48	$1.78