Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.47 / $97.83	Facility		$0.20	$0.47	$97.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.19 / $0.81	Professional		$0.19	$0.19	$0.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $23.00 / $23.00	Professional		$23.00	$23.00	$23.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $283.47 / $360.42	Facility		$0.21	$283.47	$360.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.23 / $155.58	Professional		$0.19	$0.23	$155.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $0.17 / $0.52	Facility		$0.17	$0.17	$0.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.27	Professional		$0.18	$0.18	$0.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.31 / $0.91	Facility		$0.19	$0.31	$0.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.37 / $0.89	Professional		$0.19	$0.37	$0.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $70.00 / $80.00	Professional		$30.00	$70.00	$80.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.18 / $0.24 / $0.49	Facility		$0.18	$0.24	$0.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $0.90 / $0.90	Facility		$0.34	$0.90	$0.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.27 / $0.43	Professional		$0.24	$0.27	$0.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $0.21 / $0.21	Facility		$0.21	$0.21	$0.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.21 / $0.22	Professional		$0.19	$0.21	$0.22
United Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.19 / $0.24	Professional		$0.19	$0.19	$0.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.19 / $0.23	Professional		$0.19	$0.19	$0.23