Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.94 / $24.83 / $25.93	Facility		$10.94	$24.83	$25.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $10.94 / $26.21	Professional		$8.16	$10.94	$26.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $12.55 / $12.55	Professional		$12.55	$12.55	$12.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $89.11 / $89.11	Facility		$16.91	$89.11	$89.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $17.05 / $95.58	Professional		$13.71	$17.05	$95.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.60 / $11.60 / $14.33	Facility		$11.60	$11.60	$14.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $14.33	Professional		$9.86	$9.86	$14.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $15.70 / $20.46 / $35.99	Facility		$15.70	$20.46	$35.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $21.38 / $35.99	Professional		$15.70	$21.38	$35.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.32 / $14.80 / $16.28	Professional		$13.32	$14.80	$16.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $18.86 / $19.30	Facility		$17.30	$18.86	$19.30
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $19.30 / $21.24	Professional		$17.30	$19.30	$21.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $16.91 / $31.27	Facility		$16.03	$16.91	$31.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $18.29 / $27.75	Professional		$16.03	$18.29	$27.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $16.41 / $21.24	Professional		$15.34	$16.41	$21.24
United Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $8.19 / $15.62	Professional		$7.57	$8.19	$15.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $24.98 / $24.98	Professional		$9.67	$24.98	$24.98