Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.02 / $29.56 / $31.19	Facility		$13.02	$29.56	$31.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $13.02 / $30.86	Professional		$7.03	$13.02	$30.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $16.09 / $16.09	Professional		$16.09	$16.09	$16.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20.12 / $80.00 / $108.15	Facility		$20.12	$80.00	$108.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $20.12 / $220.93	Professional		$19.07	$20.12	$220.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $11.73 / $11.73	Professional		$11.73	$11.73	$11.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $18.67 / $30.93 / $44.83	Facility		$18.67	$30.93	$44.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $30.93 / $44.72	Professional		$18.67	$30.93	$44.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $19.36 / $19.36	Professional		$15.84	$19.36	$19.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $22.44 / $25.28	Facility		$18.23	$22.44	$25.28
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $22.98 / $22.98	Professional		$18.23	$22.98	$22.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $20.12 / $37.21	Facility		$19.07	$20.12	$37.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $22.44 / $25.81	Professional		$19.07	$22.44	$25.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $19.53 / $22.98	Professional		$18.55	$19.53	$22.98
United Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $11.72 / $18.59	Professional		$9.26	$11.72	$18.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $19.53	Professional		$10.19	$10.19	$19.53