Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.68 / $2.66 / $509.63	Facility		$0.68	$2.66	$509.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.69 / $310.25	Professional		$0.63	$0.69	$310.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $42.00 / $63.00	Professional		$38.00	$42.00	$63.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.69 / $15.07 / $100.00	Facility		$0.69	$15.07	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.69 / $1,046.63	Professional		$0.63	$0.69	$1,046.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $0.59 / $1.18	Facility		$0.59	$0.59	$1.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.77	Professional		$0.60	$0.60	$0.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $1.08 / $9.11	Facility		$0.63	$1.08	$9.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $1.10 / $5.89	Professional		$0.63	$1.10	$5.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $70.00 / $80.00	Professional		$30.00	$70.00	$80.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.38 / $0.63 / $1.39	Facility		$0.38	$0.63	$1.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.11 / $1.99 / $1.99	Facility		$1.11	$1.99	$1.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $0.99 / $1.68	Professional		$0.81	$0.99	$1.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.69 / $0.69 / $4.76	Facility		$0.69	$0.69	$4.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.69 / $0.75	Professional		$0.63	$0.69	$0.75
United Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $0.76	Professional		$0.63	$0.63	$0.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $0.73	Professional		$0.63	$0.63	$0.73