Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.50 / $3.41 / $10.45	Facility		$1.50	$3.41	$10.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $4.80 / $10.37	Professional		$1.50	$4.80	$10.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $3.73 / $3.73	Professional		$3.73	$3.73	$3.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3.60 / $6.84 / $90.00	Facility		$3.60	$6.84	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.25 / $167.85	Professional		$2.18	$2.25	$167.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $1.08 / $1.08	Professional		$1.08	$1.08	$1.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2.12 / $3.82 / $44.09	Facility		$2.12	$3.82	$44.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.82 / $41.15	Professional		$2.40	$3.82	$41.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $2.82 / $3.68	Professional		$2.36	$2.82	$3.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $2.63 / $2.89	Facility		$2.57	$2.63	$2.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $4.59 / $6.84	Facility		$2.29	$4.59	$6.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.57 / $2.96	Professional		$2.18	$2.57	$2.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $2.24 / $2.63	Professional		$2.13	$2.24	$2.63
United Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.34 / $2.13	Professional		$1.12	$1.34	$2.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $2.63	Professional		$2.24	$2.24	$2.63