Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.21 / $7.21 / $7.21	Facility		$7.21	$7.21	$7.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.07 / $8.34 / $11.70	Professional		$7.07	$8.34	$11.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $15.71 / $15.71	Professional		$15.71	$15.71	$15.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $80.00 / $85.00	Facility		$16.39	$80.00	$85.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $21.50 / $72.59	Professional		$11.78	$21.50	$72.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $7.74 / $7.74	Professional		$7.74	$7.74	$7.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $15.84 / $24.69	Facility		$8.61	$15.84	$24.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $15.40 / $24.01	Professional		$8.24	$15.40	$24.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $5.05 / $75.00	Professional		$5.04	$5.05	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $16.75 / $18.72	Facility		$12.50	$16.75	$18.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.78 / $11.78 / $11.78	Facility		$11.78	$11.78	$11.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $19.82 / $23.68	Professional		$12.69	$19.82	$23.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $16.91 / $22.67	Professional		$12.01	$16.91	$22.67
United Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $15.95 / $26.38	Professional		$9.50	$15.95	$26.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $7.18 / $9.17	Professional		$7.18	$7.18	$9.17