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 / $19.57 / $28.18	Professional		$17.89	$19.57	$28.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $16.80 / $17.46	Professional		$15.71	$16.80	$17.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $160.47 / $160.47	Facility		$39.47	$160.47	$160.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $28.50 / $299.55	Professional		$24.23	$28.50	$299.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $26.78 / $40.44	Professional		$19.00	$26.78	$40.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $24.00 / $46.00	Facility		$6.00	$24.00	$46.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $22.00 / $39.00	Professional		$6.00	$22.00	$39.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.69 / $20.55 / $46.72	Professional		$18.69	$20.55	$46.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.52 / $45.86 / $45.87	Facility		$27.52	$45.86	$45.87
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 $63.79 / $63.79 / $97.86	Facility		$63.79	$63.79	$97.86
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 $39.52 / $67.55 / $100.40	Professional		$39.52	$67.55	$100.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $22.63 / $26.47	Professional		$8.48	$22.63	$26.47