Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.74 / $15.30 / $15.97	Facility		$6.74	$15.30	$15.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $6.74 / $16.14	Professional		$5.12	$6.74	$16.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $6.85 / $6.85	Professional		$6.85	$6.85	$6.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10.42 / $80.00 / $80.00	Facility		$10.42	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $10.50 / $59.26	Professional		$8.52	$10.50	$59.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.15 / $7.15 / $7.57	Facility		$7.15	$7.15	$7.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.08 / $8.41	Professional		$6.08	$6.08	$8.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6.83 / $11.99 / $20.48	Facility		$6.83	$11.99	$20.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $12.20 / $21.77	Professional		$7.13	$12.20	$21.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.20 / $9.11 / $10.03	Professional		$8.20	$9.11	$10.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $11.62 / $11.90	Facility		$10.68	$11.62	$11.90
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $11.90 / $11.90	Professional		$10.40	$11.90	$11.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.88 / $10.42 / $19.27	Facility		$9.88	$10.42	$19.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $11.27 / $17.11	Professional		$9.88	$11.27	$17.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $10.11 / $13.09	Professional		$9.44	$10.11	$13.09
United Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $5.05 / $9.63	Professional		$4.67	$5.05	$9.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $5.86 / $5.96	Professional		$5.86	$5.86	$5.96