Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.60 / $45.55	Facility		$0.02	$0.60	$45.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $0.88	Professional		$0.02	$0.03	$0.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $85.00 / $85.00	Facility		$0.12	$85.00	$85.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $530.00 / $530.00	Professional		$0.02	$530.00	$530.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.08	Facility		$0.02	$0.02	$0.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.05	Professional		$0.02	$0.02	$0.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.56 / $0.85	Facility		$0.31	$0.56	$0.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.54 / $0.82	Professional		$0.31	$0.54	$0.82
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 $0.02 / $0.02 / $79,999.20	Facility		$0.02	$0.02	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.12 / $0.12	Facility		$0.02	$0.12	$0.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.14	Professional		$0.02	$0.02	$0.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
United Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $5.15	Professional		$0.02	$0.02	$5.15