Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $3.87 / $41.16	Facility		$2.06	$3.87	$41.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.98 / $24.64	Professional		$1.88	$1.98	$24.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $1.24 / $1.24	Professional		$1.24	$1.24	$1.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5.36 / $14.71 / $123.45	Facility		$5.36	$14.71	$123.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $2.06 / $2,345.12	Professional		$1.88	$2.06	$2,345.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $1.80 / $4.37	Facility		$1.78	$1.80	$4.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $2.31	Professional		$1.88	$1.88	$2.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $24.48 / $65.81	Facility		$1.88	$24.48	$65.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $24.48 / $60.45	Professional		$1.88	$24.48	$60.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $2.03 / $30.00	Professional		$1.36	$2.03	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $1.88 / $5.36	Facility		$1.85	$1.88	$5.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.17 / $15.94 / $25.73	Facility		$7.17	$15.94	$25.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.43 / $4.15	Professional		$2.00	$2.43	$4.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5.36 / $8.03 / $21.98	Facility		$5.36	$8.03	$21.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $2.06 / $2.25	Professional		$1.88	$2.06	$2.25
United Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Facility		$2.04	$2.04	$2.04
United Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $2.25	Professional		$1.88	$1.88	$2.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $1.88 / $1.88	Professional		$1.80	$1.88	$1.88