Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $22.28 / $45.58	Professional		$16.11	$22.28	$45.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $38.03	Professional		$29.51	$29.51	$38.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $39.11 / $203.16 / $203.16	Facility		$39.11	$203.16	$203.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $32.54 / $57.17	Professional		$4.51	$32.54	$57.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $28.34 / $37.19	Facility		$28.34	$28.34	$37.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $24.09 / $45.00	Professional		$24.09	$24.09	$45.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $41.04 / $41.04 / $41.04	Facility		$41.04	$41.04	$41.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $41.04 / $41.04	Professional		$41.04	$41.04	$41.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $43.82 / $48.20	Professional		$39.43	$43.82	$48.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.97 / $41.04 / $53.33	Facility		$38.97	$41.04	$53.33
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $41.04 / $50.33	Professional		$36.94	$41.04	$50.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.86 / $39.11 / $39.11	Facility		$3.86	$39.11	$39.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.38 / $33.86 / $40.90	Professional		$3.38	$33.86	$40.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $39.85 / $39.85 / $39.85	Facility		$39.85	$39.85	$39.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $3.70 / $4.51	Professional		$3.70	$3.70	$4.51
United Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $22.42 / $38.93	Professional		$20.26	$22.42	$38.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $32.54 / $35.11	Professional		$32.54	$32.54	$35.11