Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.97 / $13.97 / $31.72	Facility		$13.97	$13.97	$31.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $11.92 / $45.00	Professional		$8.11	$11.92	$45.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $18.70 / $25.74	Professional		$9.94	$18.70	$25.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $246.98 / $246.98	Facility		$11.00	$246.98	$246.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $16.46 / $329.00	Professional		$10.88	$16.46	$329.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $19.45 / $41.06	Professional		$10.19	$19.45	$41.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $12.21 / $22.13	Facility		$8.91	$12.21	$22.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.00 / $19.80	Professional		$8.91	$12.00	$19.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $18.63 / $50.00	Professional		$13.80	$18.63	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.66 / $19.23 / $23.45	Facility		$12.66	$19.23	$23.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.04 / $14.04 / $14.04	Facility		$14.04	$14.04	$14.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $24.35 / $31.75	Professional		$16.00	$24.35	$31.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.30 / $23.30 / $23.30	Facility		$23.30	$23.30	$23.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $14.50 / $21.33	Professional		$12.60	$14.50	$21.33
United Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $20.17 / $30.39	Professional		$11.49	$20.17	$30.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $11.70 / $13.69	Professional		$9.66	$11.70	$13.69