Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $26.90 / $198.18	Facility		$2.52	$26.90	$198.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.41 / $40.00	Professional		$2.29	$2.41	$40.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.54 / $2.54	Professional		$1.95	$2.54	$2.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $382.55 / $486.39	Facility		$2.52	$382.55	$486.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.75 / $146.66	Professional		$2.29	$2.75	$146.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.16 / $2.16 / $5.72	Facility		$2.16	$2.16	$5.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $2.81	Professional		$2.29	$2.29	$2.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $2.46 / $4.61	Facility		$2.10	$2.46	$4.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.52 / $4.94	Professional		$2.04	$2.52	$4.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.51 / $30.00	Professional		$2.14	$2.51	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $2.44 / $5.85	Facility		$1.95	$2.44	$5.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.17 / $4.09 / $4.09	Facility		$3.17	$4.09	$4.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $3.42 / $6.17	Professional		$2.99	$3.42	$6.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $2.52 / $2.52	Facility		$2.52	$2.52	$2.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.52 / $2.75	Professional		$2.29	$2.52	$2.75
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $2.75	Professional		$2.29	$2.29	$2.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $2.69	Professional		$2.29	$2.29	$2.69