Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $110.50 / $813.23	Facility		$14.94	$110.50	$813.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $14.94 / $53.00	Professional		$11.19	$14.94	$53.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $19.73 / $23.05	Professional		$11.12	$19.73	$23.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.50 / $50.00 / $90.00	Facility		$14.50	$50.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $24.80 / $104.33	Professional		$13.71	$24.80	$104.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $19.21 / $35.54	Professional		$12.37	$19.21	$35.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $20.39 / $29.53	Facility		$11.93	$20.39	$29.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $17.82 / $29.53	Professional		$10.85	$17.82	$29.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $8.01 / $75.00	Professional		$7.29	$8.01	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.67 / $21.08 / $23.45	Facility		$17.67	$21.08	$23.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.50 / $14.50 / $16.00	Facility		$14.50	$14.50	$16.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $25.76 / $32.81	Professional		$16.46	$25.76	$32.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $20.64 / $27.18	Professional		$12.96	$20.64	$27.18
United Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $18.16 / $29.71	Professional		$12.60	$18.16	$29.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $13.97 / $13.97	Professional		$9.73	$13.97	$13.97