Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.87 / $53.79 / $456.96	Facility		$2.87	$53.79	$456.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.72 / $89.70	Professional		$2.47	$2.72	$89.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.11 / $2.31	Professional		$2.11	$2.11	$2.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $2,340.90 / $2,976.31	Facility		$2.72	$2,340.90	$2,976.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.99 / $535.00	Professional		$2.47	$2.99	$535.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.33 / $2.33 / $5.86	Facility		$2.33	$2.33	$5.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $3.03	Professional		$2.47	$2.47	$3.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2.47 / $3.33 / $7.44	Facility		$2.47	$3.33	$7.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $3.75 / $7.44	Professional		$2.47	$3.75	$7.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.32 / $2.71 / $30.00	Professional		$2.32	$2.71	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $2.64 / $6.33	Facility		$2.11	$2.64	$6.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.48 / $9.06 / $9.06	Facility		$5.48	$9.06	$9.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.88 / $8.34	Professional		$4.04	$4.88	$8.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $2.72 / $2.72	Facility		$2.72	$2.72	$2.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.72 / $2.97	Professional		$2.47	$2.72	$2.97
United Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $3.09	Professional		$2.47	$2.47	$3.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $3.63	Professional		$2.47	$2.47	$3.63