Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $22.31 / $26.07	Facility		$14.02	$22.31	$26.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $15.30 / $26.23	Professional		$11.33	$15.30	$26.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $27.23 / $29.77	Professional		$22.57	$27.23	$29.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $57.52 / $57.52	Facility		$50.00	$57.52	$57.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $29.63 / $93.56	Professional		$17.39	$29.63	$93.56
Asuris Northwest Health Facility/Professional Professional Modifier 25 Low / Median / High Price $15.92 / $23.56 / $32.46	Professional	25	$15.92	$23.56	$32.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $27.09 / $45.70	Professional		$15.13	$27.09	$45.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $13.45 / $25.30 / $36.24	Facility		$13.45	$25.30	$36.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $24.33 / $35.65	Professional		$12.88	$24.33	$35.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $8.77 / $12.87	Professional		$7.29	$8.77	$12.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.78 / $28.81 / $30.15	Facility		$19.78	$28.81	$30.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.93 / $19.93 / $19.93	Facility		$19.93	$19.93	$19.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $29.93 / $38.20	Professional		$19.93	$29.93	$38.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $25.74 / $35.54	Professional		$17.39	$25.74	$35.54
United Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $24.94 / $42.50	Professional		$16.03	$24.94	$42.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $13.33 / $16.09	Professional		$12.43	$13.33	$16.09