Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.65 / $7.57 / $15.28	Facility		$6.65	$7.57	$15.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $6.40 / $26.24	Professional		$4.41	$6.40	$26.24
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $5.51 / $20.00 / $20.00	Professional	25	$5.51	$20.00	$20.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $6.30 / $10.01	Professional		$3.47	$6.30	$10.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $70.00 / $70.00	Facility		$6.34	$70.00	$70.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $6.59 / $42.00	Professional		$4.32	$6.59	$42.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $5.00 / $13.17	Professional		$4.00	$5.00	$13.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $6.75 / $13.05	Facility		$4.69	$6.75	$13.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $6.37 / $11.57	Professional		$4.76	$6.37	$11.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $12.32 / $15.12	Professional		$10.08	$12.32	$15.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.69 / $9.02 / $10.72	Facility		$7.69	$9.02	$10.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $6.34 / $6.34	Facility		$6.34	$6.34	$6.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $10.48 / $12.70	Professional		$6.59	$10.48	$12.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $89.15 / $89.15 / $136.77	Facility		$89.15	$89.15	$136.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $5.63 / $7.17	Professional		$4.53	$5.63	$7.17
United Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $9.15 / $13.83	Professional		$5.94	$9.15	$13.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $4.63 / $5.41	Professional		$3.87	$4.63	$5.41