Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $23.05 / $36.83	Facility		$17.54	$23.05	$36.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $15.51 / $29.35	Professional		$11.45	$15.51	$29.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.13 / $12.67	Professional		$8.91	$10.13	$12.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20.69 / $139.38 / $139.38	Facility		$20.69	$139.38	$139.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $25.50 / $199.96	Professional		$15.25	$25.50	$199.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $24.62 / $41.98	Professional		$13.95	$24.62	$41.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $12.37 / $23.68 / $33.10	Facility		$12.37	$23.68	$33.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $21.80 / $32.78	Professional		$11.78	$21.80	$32.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $70.00 / $80.00	Professional		$14.24	$70.00	$80.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $24.89 / $26.80	Facility		$18.89	$24.89	$26.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $22.63 / $26.24	Facility		$17.21	$22.63	$26.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $26.18 / $35.38	Professional		$17.82	$26.18	$35.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $19.47 / $28.88	Facility		$16.23	$19.47	$28.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $23.53 / $32.36	Professional		$15.25	$23.53	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $14.76 / $22.41 / $38.53	Professional		$14.76	$22.41	$38.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $12.26 / $14.24	Professional		$11.04	$12.26	$14.24