Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $18.69 / $64.84	Facility		$9.19	$18.69	$64.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $8.94 / $20.00	Professional		$6.98	$8.94	$20.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $18.17	Professional		$18.17	$18.17	$18.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13.45 / $50.00 / $167.00	Facility		$13.45	$50.00	$167.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $14.65 / $71.00	Professional		$9.24	$14.65	$71.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $12.53 / $21.82	Professional		$7.54	$12.53	$21.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6.51 / $8.97 / $17.14	Facility		$6.51	$8.97	$17.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $9.56 / $17.37	Professional		$6.51	$9.56	$17.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $4.10 / $5.04	Professional		$3.36	$4.10	$5.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $13.12 / $14.28	Facility		$9.80	$13.12	$14.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.06 / $9.06 / $9.14	Facility		$9.06	$9.06	$9.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $14.80 / $18.14	Professional		$10.27	$14.80	$18.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $12.50 / $16.60	Professional		$9.24	$12.50	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $11.59 / $19.77	Professional		$8.40	$11.59	$19.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $6.92 / $6.92	Professional		$5.52	$6.92	$6.92