Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $3.31 / $1,050.84	Facility		$2.54	$3.31	$1,050.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.82 / $74.05	Professional		$2.79	$2.82	$74.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.59 / $1.59	Professional		$1.59	$1.59	$1.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $3.37 / $224.85	Facility		$1.73	$3.37	$224.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $3.07 / $1,837.68	Professional		$2.68	$3.07	$1,837.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.22 / $2.63 / $2.79	Facility		$2.22	$2.63	$2.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.79 / $3.42	Professional		$2.79	$2.79	$3.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2.79 / $39.04 / $103.96	Facility		$2.79	$39.04	$103.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $43.12 / $94.72	Professional		$2.79	$43.12	$94.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.75 / $30.00	Professional		$1.74	$2.75	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.59 / $2.79 / $8.36	Facility		$1.59	$2.79	$8.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.67 / $3.35 / $5.03	Facility		$1.67	$3.35	$5.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.99 / $5.09	Professional		$2.47	$2.99	$5.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $3.03 / $44.53	Facility		$1.73	$3.03	$44.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $3.07 / $3.35	Professional		$2.79	$3.07	$3.35
United Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.79 / $3.35	Professional		$2.79	$2.79	$3.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.79 / $2.79	Professional		$2.22	$2.79	$2.79