Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.20 / $11.80 / $62.84	Facility		$5.20	$11.80	$62.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $5.20 / $12.32	Professional		$4.87	$5.20	$12.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $6.01 / $6.14	Professional		$6.01	$6.01	$6.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7.01 / $75.00 / $80.00	Facility		$7.01	$75.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $7.01 / $53.19	Professional		$5.85	$7.01	$53.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $5.18 / $5.18	Facility		$5.18	$5.18	$5.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $3.78 / $5.18	Professional		$3.78	$3.78	$5.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $8.43 / $21.94	Facility		$5.00	$8.43	$21.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.44 / $16.93	Professional		$5.01	$8.44	$16.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $6.14 / $6.75	Professional		$5.52	$6.14	$6.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.36 / $7.82 / $10.68	Facility		$6.36	$7.82	$10.68
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $8.01 / $10.68	Professional		$7.21	$8.01	$10.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.01 / $8.99 / $15.64	Facility		$7.01	$8.99	$15.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $6.65 / $10.78	Professional		$6.65	$6.65	$10.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7.62 / $7.82 / $7.82	Facility		$7.62	$7.82	$7.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $6.81 / $8.81	Professional		$6.36	$6.81	$8.81
United Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $5.99 / $7.62	Professional		$4.00	$5.99	$7.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.08 / $6.81	Professional		$2.08	$2.08	$6.81