Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $91.20 / $983.43	Facility		$0.65	$91.20	$983.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $3.18 / $66.20	Professional		$0.15	$3.18	$66.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $25.00 / $41.00	Professional		$15.00	$25.00	$41.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.24 / $100.00 / $100.00	Facility		$0.24	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $1,506.04	Professional		$0.15	$0.15	$1,506.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.14 / $0.28	Facility		$0.14	$0.14	$0.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.19	Professional		$0.15	$0.15	$0.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.31 / $0.88	Facility		$0.15	$0.31	$0.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.31 / $0.82	Professional		$0.15	$0.31	$0.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $75.00 / $75.00	Professional		$70.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.19 / $0.45	Facility		$0.15	$0.19	$0.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.36 / $0.36	Facility		$0.36	$0.36	$0.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.36 / $0.36	Professional		$0.27	$0.36	$0.36
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 $0.15 / $0.15 / $0.16	Professional		$0.15	$0.15	$0.16
United Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.17	Professional		$0.15	$0.15	$0.17