Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $20.25 / $20.56	Professional		$19.30	$20.25	$20.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $12.16 / $20.26	Professional		$10.13	$12.16	$20.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $96.72 / $96.72	Facility		$50.00	$96.72	$96.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $44.17 / $166.58	Professional		$18.23	$44.17	$166.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $23.66 / $31.63	Professional		$12.56	$23.66	$31.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $32.42 / $62.25	Facility		$20.26	$32.42	$62.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $37.29 / $65.56	Professional		$20.26	$37.29	$65.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $22.28 / $75.00	Professional		$20.26	$22.28	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $20.26 / $42.55	Facility		$20.26	$20.26	$42.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $18.23 / $18.23	Professional		$18.23	$18.23	$18.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $36.28 / $43.16	Professional		$22.41	$36.28	$43.16
United Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $16.55 / $31.54	Professional		$12.16	$16.55	$31.54