Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $20.54 / $46.30	Professional		$17.09	$20.54	$46.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $40.93 / $40.93	Professional		$37.59	$40.93	$40.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $174.00 / $174.00	Facility		$36.04	$174.00	$174.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $28.98 / $52.62	Professional		$5.00	$28.98	$52.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.27 / $24.27 / $32.49	Facility		$24.27	$24.27	$32.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $24.27 / $32.49	Professional		$20.63	$24.27	$32.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $35.15 / $35.15	Facility		$35.15	$35.15	$35.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $35.15 / $35.15	Professional		$35.15	$35.15	$35.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.81 / $46.46 / $51.10	Professional		$41.81	$46.46	$51.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $35.79 / $59.20	Facility		$35.15	$35.79	$59.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $35.79 / $50.11	Professional		$35.15	$35.79	$50.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.61 / $3.61 / $36.04	Facility		$3.61	$3.61	$36.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $29.02 / $72.67	Professional		$2.91	$29.02	$72.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.11 / $4.11 / $5.00	Professional		$4.11	$4.11	$5.00
United Facility/Professional Facility Modifier Low / Median / High Price $2.18 / $16.39 / $25.96	Facility		$2.18	$16.39	$25.96
United Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $23.77 / $38.52	Professional		$20.05	$23.77	$38.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.65 / $51.65 / $51.65	Professional		$51.65	$51.65	$51.65