Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.92 / $22.52 / $23.51	Facility		$9.92	$22.52	$23.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $9.50 / $22.52	Professional		$5.36	$9.50	$22.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $12.95 / $12.95	Professional		$12.95	$12.95	$12.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.56 / $23.30 / $90.00	Facility		$14.56	$23.30	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $31.75 / $101.85	Professional		$16.00	$31.75	$101.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $7.45 / $7.45	Professional		$7.45	$7.45	$7.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $13.93 / $25.37 / $31.52	Facility		$13.93	$25.37	$31.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $25.90 / $31.85	Professional		$14.85	$25.90	$31.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $24.21 / $39.00	Professional		$13.45	$24.21	$39.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.25 / $23.12 / $23.45	Facility		$19.25	$23.12	$23.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.86 / $15.86 / $16.00	Facility		$15.86	$15.86	$16.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $26.63 / $31.75	Professional		$16.89	$26.63	$31.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $17.48 / $31.93	Facility		$14.83	$17.48	$31.93
United Facility/Professional Professional Modifier Low / Median / High Price $6.79 / $7.58 / $12.63	Professional		$6.79	$7.58	$12.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $13.77 / $13.77	Professional		$13.77	$13.77	$13.77