Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.94 / $15.75 / $16.45	Facility		$6.94	$15.75	$16.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $6.94 / $16.62	Professional		$3.45	$6.94	$16.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $8.57 / $12.24	Professional		$7.04	$8.57	$12.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $80.00 / $80.00	Facility		$10.72	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $10.78 / $60.96	Professional		$8.84	$10.78	$60.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.35 / $7.35 / $7.79	Facility		$7.35	$7.35	$7.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $6.25 / $8.65	Professional		$6.25	$6.25	$8.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $7.13 / $12.24 / $20.48	Facility		$7.13	$12.24	$20.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $12.48 / $21.77	Professional		$7.13	$12.48	$21.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $9.38 / $10.31	Professional		$8.44	$9.38	$10.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $11.95 / $12.24	Facility		$10.98	$11.95	$12.24
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $12.24 / $12.24	Professional		$10.69	$12.24	$12.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.16 / $10.72 / $19.80	Facility		$10.16	$10.72	$19.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $11.59 / $17.59	Professional		$10.16	$11.59	$17.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $10.40 / $13.46	Professional		$9.72	$10.40	$13.46
United Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $4.76 / $5.82	Facility		$0.08	$4.76	$5.82
United Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $5.19 / $9.90	Professional		$4.80	$5.19	$9.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $6.02 / $6.13	Professional		$6.02	$6.02	$6.13