Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $16.82 / $38.76	Professional		$15.19	$16.82	$38.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.20 / $27.20 / $27.20	Professional		$27.20	$27.20	$27.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $142.13 / $142.13	Facility		$62.01	$142.13	$142.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $23.90 / $43.71	Professional		$3.60	$23.90	$43.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $19.82 / $26.55	Facility		$19.82	$19.82	$26.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $19.82 / $26.73	Professional		$16.86	$19.82	$26.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $27.73 / $27.73 / $27.73	Facility		$27.73	$27.73	$27.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $27.73 / $27.73	Professional		$27.73	$27.73	$27.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $39.42 / $47.41	Professional		$31.53	$39.42	$47.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.73 / $30.38 / $42.68	Facility		$27.73	$30.38	$42.68
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $30.38 / $37.88	Professional		$27.73	$30.38	$37.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.76 / $2.76 / $29.22	Facility		$2.76	$2.76	$29.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $26.11 / $42.70	Professional		$2.29	$26.11	$42.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $2.96 / $3.60	Professional		$2.96	$2.96	$3.60
United Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $23.02 / $29.48	Professional		$15.35	$23.02	$29.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $31.81 / $31.81	Professional		$31.81	$31.81	$31.81