Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $21.29 / $34.43	Professional		$15.91	$21.29	$34.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $27.00 / $27.02	Professional		$25.13	$27.00	$27.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.35 / $99.92 / $99.92	Facility		$21.35	$99.92	$99.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $26.73 / $178.88	Professional		$19.27	$26.73	$178.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $58.23 / $101.63	Professional		$25.35	$58.23	$101.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $19.84 / $26.97 / $47.36	Facility		$19.84	$26.97	$47.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $26.97 / $44.99	Professional		$19.84	$26.97	$44.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $13.98 / $17.67	Professional		$11.43	$13.98	$17.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.60 / $51.35 / $54.94	Facility		$33.60	$51.35	$54.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $51.52 / $68.14	Professional		$18.75	$51.52	$68.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $22.10 / $26.73	Professional		$18.59	$22.10	$26.73
United Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $40.29 / $78.00	Professional		$24.57	$40.29	$78.00