Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $14.00 / $29.93	Professional		$11.72	$14.00	$29.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $23.31 / $28.07	Professional		$23.31	$23.31	$28.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $113.86 / $113.86	Facility		$24.56	$113.86	$113.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $19.59 / $32.63	Professional		$3.57	$19.59	$32.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.88 / $15.88 / $21.26	Facility		$15.88	$15.88	$21.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $15.88 / $25.92	Professional		$13.50	$15.88	$25.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $25.97 / $25.97 / $25.97	Facility		$25.97	$25.97	$25.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $25.97 / $25.97	Professional		$25.97	$25.97	$25.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.38 / $27.09 / $29.79	Professional		$24.38	$27.09	$29.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $25.97 / $35.50	Facility		$24.44	$25.97	$35.50
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $25.97 / $31.59	Professional		$24.44	$25.97	$31.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $24.56	Facility		$2.63	$2.63	$24.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $21.44 / $25.05	Professional		$2.14	$21.44	$25.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $3.57	Professional		$2.93	$2.93	$3.57
United Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $15.93 / $24.83	Professional		$12.92	$15.93	$24.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.42 / $41.42 / $41.42	Professional		$41.42	$41.42	$41.42