Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $3.50 / $324.00	Facility		$1.93	$3.50	$324.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.82 / $6.65	Professional		$1.75	$1.82	$6.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.40 / $1.40	Professional		$1.40	$1.40	$1.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $3,014.39 / $3,832.60	Facility		$1.93	$3,014.39	$3,832.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.19 / $535.45	Professional		$1.75	$2.19	$535.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.65 / $1.65 / $3.28	Facility		$1.65	$1.65	$3.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $2.15	Professional		$1.75	$1.75	$2.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $3.37 / $7.88	Facility		$1.75	$3.37	$7.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $3.75 / $7.58	Professional		$1.75	$3.75	$7.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $1.80 / $30.00	Professional		$1.54	$1.80	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.40 / $1.82 / $4.41	Facility		$1.40	$1.82	$4.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.98 / $5.98 / $5.98	Facility		$2.98	$5.98	$5.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.66 / $4.54	Professional		$2.19	$2.66	$4.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $1.93 / $1.93	Facility		$1.93	$1.93	$1.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.93 / $2.10	Professional		$1.75	$1.93	$2.10
United Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $2.19	Professional		$1.75	$1.75	$2.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $1.97	Professional		$1.75	$1.75	$1.97