Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $16.89 / $24.74	Professional		$12.24	$16.89	$24.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $25.34 / $30.62	Professional		$14.06	$25.34	$30.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20.84 / $20.84 / $84.95	Facility		$20.84	$20.84	$84.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $36.40 / $119.85	Professional		$19.39	$36.40	$119.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $25.07 / $43.64	Professional		$13.40	$25.07	$43.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16.88 / $22.50 / $39.44	Facility		$16.88	$22.50	$39.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $22.91 / $39.44	Professional		$17.10	$22.91	$39.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $9.03 / $9.86	Professional		$8.41	$9.03	$9.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $30.15 / $31.58	Facility		$20.23	$30.15	$31.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.84 / $20.84 / $20.84	Facility		$20.84	$20.84	$20.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $33.28 / $41.17	Professional		$21.02	$33.28	$41.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $28.47 / $37.94	Professional		$19.39	$28.47	$37.94
United Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $23.77 / $43.20	Professional		$16.64	$23.77	$43.20