Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $13.92 / $14.53	Facility		$6.13	$13.92	$14.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $6.13 / $14.60	Professional		$2.14	$6.13	$14.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $13.45 / $14.53	Professional		$13.45	$13.45	$14.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9.42 / $75.00 / $90.00	Facility		$9.42	$75.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $9.42 / $78.83	Professional		$8.93	$9.42	$78.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $5.08 / $12.10	Professional		$5.08	$5.08	$12.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6.20 / $11.81 / $20.62	Facility		$6.20	$11.81	$20.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $12.34 / $21.87	Professional		$6.37	$12.34	$21.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.45 / $11.56 / $16.14	Professional		$9.45	$11.56	$16.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.51 / $10.76 / $12.37	Facility		$10.51	$10.76	$12.37
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $9.39 / $9.39 / $9.39	Professional		$9.39	$9.39	$9.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.93 / $9.42 / $17.43	Facility		$8.93	$9.42	$17.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $10.51 / $12.09	Professional		$8.93	$10.51	$12.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $9.15 / $10.76	Professional		$8.69	$9.15	$10.76
United Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $5.49 / $8.69	Professional		$4.55	$5.49	$8.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $3.61 / $9.15	Professional		$3.61	$3.61	$9.15