Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.40 / $18.60 / $81.12	Facility		$0.40	$18.60	$81.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.39 / $34.40	Professional		$0.35	$0.39	$34.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $50.00	Professional		$45.00	$45.00	$50.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.40 / $95.00 / $100.00	Facility		$0.40	$95.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.45 / $514.89	Professional		$0.36	$0.45	$514.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $0.34 / $0.96	Facility		$0.34	$0.34	$0.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $0.53	Professional		$0.34	$0.34	$0.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $3.03 / $43.14	Facility		$0.36	$3.03	$43.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $3.03 / $37.49	Professional		$0.36	$3.03	$37.49
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 $0.36 / $0.45 / $1.09	Facility		$0.36	$0.45	$1.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.89 / $3.49 / $3.49	Facility		$0.89	$3.49	$3.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.64 / $0.74 / $1.14	Professional		$0.64	$0.74	$1.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.40 / $0.40 / $56.27	Facility		$0.40	$0.40	$56.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.40 / $0.43	Professional		$0.36	$0.40	$0.43
United Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.36 / $0.43	Professional		$0.36	$0.36	$0.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.36 / $0.59	Professional		$0.36	$0.36	$0.59