Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $21.97 / $22.94	Facility		$9.68	$21.97	$22.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $9.68 / $22.94	Professional		$7.71	$9.68	$22.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $11.11 / $11.11	Professional		$11.11	$11.11	$11.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.97 / $80.17 / $80.17	Facility		$14.97	$80.17	$80.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $15.25 / $89.34	Professional		$12.00	$15.25	$89.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $10.78 / $10.78	Facility		$10.78	$10.78	$10.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $9.16 / $13.31	Professional		$9.16	$9.16	$13.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $18.53 / $33.17	Facility		$14.42	$18.53	$33.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.42 / $19.64 / $33.17	Professional		$14.42	$19.64	$33.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.79 / $13.10 / $14.41	Professional		$11.79	$13.10	$14.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.68 / $14.89 / $17.09	Facility		$13.68	$14.89	$17.09
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $15.25 / $19.05	Professional		$13.68	$15.25	$19.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $14.97 / $27.67	Facility		$14.19	$14.97	$27.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $16.19 / $24.57	Professional		$14.19	$16.19	$24.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $14.53 / $17.94	Professional		$13.57	$14.53	$17.94
United Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $7.61 / $14.52	Professional		$7.04	$7.61	$14.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $10.53 / $10.53	Professional		$7.97	$10.53	$10.53