Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $5.75 / $111.83	Facility		$3.22	$5.75	$111.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.29 / $56.32	Professional		$3.02	$3.29	$56.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.48 / $3.48	Professional		$2.72	$3.48	$3.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3.32 / $617.66 / $785.34	Facility		$3.32	$617.66	$785.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.65 / $171.39	Professional		$3.02	$3.65	$171.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $2.85 / $6.30	Facility		$2.85	$2.85	$6.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.70	Professional		$3.02	$3.02	$3.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.39 / $6.62	Facility		$3.02	$3.39	$6.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.78 / $6.62	Professional		$3.00	$3.78	$6.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $3.32 / $30.00	Professional		$2.99	$3.32	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $3.40 / $8.16	Facility		$2.72	$3.40	$8.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $7.02 / $7.02	Facility		$5.01	$7.02	$7.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $4.48 / $7.64	Professional		$3.69	$4.48	$7.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3.32 / $3.32 / $3.32	Facility		$3.32	$3.32	$3.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.32 / $3.62	Professional		$3.02	$3.32	$3.62
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.62	Professional		$3.02	$3.02	$3.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.32	Professional		$3.02	$3.02	$3.32