Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.47 / $8.74 / $19.84	Professional		$7.47	$8.74	$19.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $15.03 / $15.44	Professional		$15.03	$15.03	$15.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $80.00 / $80.00	Facility		$15.49	$80.00	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $13.25 / $21.03	Professional		$1.59	$13.25	$21.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.87 / $10.87 / $14.27	Facility		$10.87	$10.87	$14.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $10.87 / $17.82	Professional		$9.24	$10.87	$17.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $15.95 / $15.95	Facility		$15.95	$15.95	$15.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $15.95 / $15.95	Professional		$15.95	$15.95	$15.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $15.76 / $19.27	Professional		$1.85	$15.76	$19.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $16.39 / $22.33	Facility		$15.95	$16.39	$22.33
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $16.39 / $20.03	Professional		$15.15	$16.39	$20.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $15.34 / $17.80	Facility		$1.55	$15.34	$17.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $13.17 / $17.80	Professional		$1.32	$13.17	$17.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.59 / $1.94	Professional		$1.59	$1.59	$1.94
United Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $10.40 / $15.02	Professional		$7.82	$10.40	$15.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $20.41 / $20.41	Professional		$20.41	$20.41	$20.41