Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $36.96 / $216.00	Facility		$2.19	$36.96	$216.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.19 / $40.54	Professional		$1.99	$2.19	$40.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $2.21 / $2.59	Professional		$1.72	$2.21	$2.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $85.00 / $100.00	Facility		$2.19	$85.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $2.19 / $60.42	Professional		$1.97	$2.19	$60.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $1.88 / $4.42	Facility		$1.88	$1.88	$4.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $1.99 / $2.44	Professional		$1.99	$1.99	$2.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $2.27 / $4.72	Facility		$1.99	$2.27	$4.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.40 / $5.30	Professional		$1.99	$2.40	$5.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $2.18 / $30.00	Professional		$1.89	$2.18	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.72 / $2.15 / $5.16	Facility		$1.72	$2.15	$5.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.37 / $5.12 / $5.12	Facility		$3.37	$5.12	$5.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $3.00 / $5.12	Professional		$2.48	$3.00	$5.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Facility		$2.19	$2.19	$2.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.19 / $2.39	Professional		$1.99	$2.19	$2.39
United Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $1.99 / $2.39	Professional		$1.99	$1.99	$2.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $1.99 / $2.23	Professional		$1.99	$1.99	$2.23