Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $22.05 / $32.77	Professional		$15.11	$22.05	$32.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $24.34 / $25.00	Professional		$23.42	$24.34	$25.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $101.42 / $101.42	Facility		$15.00	$101.42	$101.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $25.76 / $187.13	Professional		$19.75	$25.76	$187.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $60.82 / $101.84	Professional		$24.66	$60.82	$101.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $19.71 / $25.73 / $44.85	Facility		$19.71	$25.73	$44.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $25.73 / $46.73	Professional		$20.26	$25.73	$46.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $50.00	Professional		$45.00	$45.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.34 / $44.89 / $52.93	Facility		$32.34	$44.89	$52.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $53.94 / $64.81	Professional		$19.32	$53.94	$64.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $22.65 / $25.74	Professional		$19.75	$22.65	$25.74
United Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $41.08 / $77.02	Professional		$24.09	$41.08	$77.02