Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $13.50 / $19.42	Facility		$10.72	$13.50	$19.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $13.00 / $18.50	Professional		$4.36	$13.00	$18.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $11.52 / $14.37	Professional		$10.02	$11.52	$14.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $57.52 / $57.52	Facility		$19.48	$57.52	$57.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.30 / $106.43	Professional		$12.02	$19.30	$106.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $14.00 / $32.00	Professional		$3.22	$14.00	$32.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $12.20 / $23.78	Facility		$4.38	$12.20	$23.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $13.26 / $21.89	Professional		$5.25	$13.26	$21.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $10.35 / $13.93	Professional		$8.27	$10.35	$13.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.32 / $26.80 / $29.48	Facility		$18.32	$26.80	$29.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $19.48	Facility		$19.48	$19.48	$19.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $29.18 / $37.50	Professional		$17.38	$29.18	$37.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $16.97 / $22.44	Professional		$12.61	$16.97	$22.44
United Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $18.48 / $40.11	Professional		$7.14	$18.48	$40.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.99 / $15.36	Professional		$12.14	$12.99	$15.36