Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $39.92 / $88.98	Facility		$0.14	$39.92	$88.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.15 / $72.12	Professional		$0.14	$0.15	$72.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $12.00	Professional		$11.00	$11.00	$12.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $85.00 / $85.00	Facility		$0.15	$85.00	$85.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.15 / $85.90	Professional		$0.14	$0.15	$85.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $0.13 / $0.26	Facility		$0.13	$0.13	$0.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.14 / $0.17	Professional		$0.14	$0.14	$0.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.19 / $0.76	Facility		$0.14	$0.19	$0.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.31 / $0.76	Professional		$0.14	$0.31	$0.76
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 $0.11 / $0.14 / $0.33	Facility		$0.11	$0.14	$0.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.16 / $0.33 / $0.33	Facility		$0.16	$0.33	$0.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.16 / $0.24	Professional		$0.11	$0.16	$0.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Facility		$0.15	$0.15	$0.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.15 / $0.16	Professional		$0.14	$0.15	$0.16
United Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $0.13 / $0.13	Facility		$0.13	$0.13	$0.13
United Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.14 / $0.18	Professional		$0.14	$0.14	$0.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.14 / $0.14	Professional		$0.11	$0.14	$0.14