Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.16 / $7.28 / $77.31	Facility		$2.16	$7.28	$77.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.98 / $11.60	Professional		$1.81	$1.98	$11.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $2.52 / $4.38	Professional		$2.52	$2.52	$4.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $85.00 / $100.00	Facility		$1.99	$85.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $2.17 / $125.33	Professional		$1.81	$2.17	$125.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.71 / $1.71 / $5.84	Facility		$1.71	$1.71	$5.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $2.95	Professional		$1.81	$1.81	$2.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $2.44 / $20.38	Facility		$1.81	$2.44	$20.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $4.84 / $21.02	Professional		$1.81	$4.84	$21.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.77 / $30.00	Professional		$1.99	$2.77	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $2.52 / $6.46	Facility		$1.81	$2.52	$6.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $5.74 / $5.74	Facility		$4.46	$5.74	$5.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $3.71 / $5.72	Professional		$3.21	$3.71	$5.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $1.99 / $1.99	Facility		$1.99	$1.99	$1.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.99 / $2.17	Professional		$1.81	$1.99	$2.17
United Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $2.17	Professional		$1.81	$1.81	$2.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $2.95 / $2.95	Professional		$2.95	$2.95	$2.95