Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $32.85 / $289.39	Facility		$13.25	$32.85	$289.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $13.26 / $31.56	Professional		$12.94	$13.26	$31.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $27.71 / $42.79	Professional		$9.36	$27.71	$42.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $37.31 / $100.00	Facility		$14.82	$37.31	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $14.82 / $101.10	Professional		$14.82	$14.82	$101.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $26.52	Facility		$13.26	$13.26	$26.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Professional		$13.26	$13.26	$13.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $34.57 / $54.88	Facility		$16.73	$34.57	$54.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $35.04 / $56.85	Professional		$16.73	$35.04	$56.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $16.30 / $75.00	Professional		$16.30	$16.30	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $14.82 / $83.08	Facility		$14.82	$14.82	$83.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $14.82 / $14.82	Facility		$14.82	$14.82	$14.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $14.82 / $14.82	Professional		$14.82	$14.82	$14.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $14.82 / $14.82	Facility		$14.82	$14.82	$14.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $14.82 / $14.82	Professional		$14.08	$14.82	$14.82
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $15.60	Professional		$13.00	$13.00	$15.60