Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $14.66 / $144.00	Facility		$14.66	$14.66	$144.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.10 / $14.66 / $15.20	Professional		$9.10	$14.66	$15.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $37.00 / $55.50	Professional		$9.97	$37.00	$55.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $41.17 / $41.17 / $41.17	Facility		$41.17	$41.17	$41.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $25.79 / $45.00	Professional		$18.80	$25.79	$45.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $8.38 / $8.38	Professional		$8.38	$8.38	$8.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.32 / $23.32 / $24.38	Facility		$23.32	$23.32	$24.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $24.38 / $24.38	Professional		$23.32	$24.38	$24.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $37.41 / $62.14	Professional		$31.07	$37.41	$62.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $56.73 / $79,999.20	Facility		$34.04	$56.73	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.17 / $41.17 / $41.17	Facility		$41.17	$41.17	$41.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.17 / $41.17 / $41.17	Professional		$41.17	$41.17	$41.17
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $23.15	Professional		$15.00	$15.00	$23.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $19.80 / $19.80	Professional		$19.80	$19.80	$19.80