Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.48 / $7.48 / $15.81	Facility		$7.48	$7.48	$15.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $15.16 / $27.55	Professional		$7.71	$15.16	$27.55
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $12.53 / $12.53 / $12.53	Professional	25	$12.53	$12.53	$12.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $14.93 / $19.42	Professional		$14.93	$14.93	$19.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $45.24 / $45.24	Facility		$17.07	$45.24	$45.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $31.69 / $118.24	Professional		$13.53	$31.69	$118.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $15.77	Professional		$15.77	$15.77	$15.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $22.68 / $46.72	Facility		$11.34	$22.68	$46.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $21.58 / $44.26	Professional		$10.50	$21.58	$44.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $236.25 / $477.35	Professional		$60.00	$236.25	$477.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $34.17 / $38.19	Facility		$20.50	$34.17	$38.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.92 / $24.92 / $24.92	Facility		$24.92	$24.92	$24.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $25.94 / $47.75	Professional		$14.95	$25.94	$47.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $73.95 / $81.31 / $112.87	Facility		$73.95	$81.31	$112.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $25.34 / $43.29	Professional		$13.43	$25.34	$43.29
United Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $29.59 / $52.26	Professional		$19.12	$29.59	$52.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $14.63 / $19.77	Professional		$14.63	$14.63	$19.77