Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $19.19 / $19.19	Facility		$19.19	$19.19	$19.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $19.47 / $26.58	Professional		$17.89	$19.47	$26.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $24.74 / $24.74	Professional		$20.66	$24.74	$24.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $151.40 / $151.40	Facility		$39.47	$151.40	$151.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $28.50 / $288.14	Professional		$24.30	$28.50	$288.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $25.00 / $40.44	Professional		$19.00	$25.00	$40.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $34.70 / $206.38	Facility		$30.00	$34.70	$206.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $31.50 / $44.88	Professional		$30.00	$31.50	$44.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $15.81 / $35.95	Professional		$14.38	$15.81	$35.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.52 / $45.86 / $45.87	Facility		$27.52	$45.86	$45.87
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $42.90 / $42.90	Professional		$42.90	$42.90	$42.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $39.47 / $39.47	Facility		$39.47	$39.47	$39.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $39.47 / $39.47	Professional		$39.47	$39.47	$39.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $354.42 / $354.42 / $543.76	Facility		$354.42	$354.42	$543.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $28.50 / $28.50	Professional		$28.50	$28.50	$28.50
United Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $60.35 / $98.83	Professional		$39.00	$60.35	$98.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $41.18 / $44.48	Professional		$21.45	$41.18	$44.48