Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.83 / $13.23 / $13.82	Facility		$5.83	$13.23	$13.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $5.83 / $13.82	Professional		$3.14	$5.83	$13.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $7.20 / $7.20	Professional		$7.20	$7.20	$7.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9.01 / $80.00 / $80.00	Facility		$9.01	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $9.01 / $75.30	Professional		$8.52	$9.01	$75.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Professional		$5.25	$5.25	$5.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8.48 / $14.06 / $20.62	Facility		$8.48	$14.06	$20.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $14.08 / $20.46	Professional		$8.48	$14.08	$20.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.65 / $8.65	Professional		$7.08	$8.65	$8.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.16 / $10.03 / $11.31	Facility		$8.16	$10.03	$11.31
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $10.28 / $10.28	Professional		$8.98	$10.28	$10.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $9.01 / $16.64	Facility		$8.52	$9.01	$16.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $10.03 / $11.55	Professional		$8.52	$10.03	$11.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $8.74 / $10.28	Professional		$8.30	$8.74	$10.28
United Facility/Professional Professional Modifier Low / Median / High Price $4.15 / $5.24 / $8.32	Professional		$4.15	$5.24	$8.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $4.55 / $8.74	Professional		$4.55	$4.55	$8.74