Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.51 / $18.04 / $24.94	Facility		$13.51	$18.04	$24.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.41 / $15.36	Professional		$12.28	$12.41	$15.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $15.62 / $15.62	Professional		$15.62	$15.62	$15.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $13.51 / $110.12	Facility		$4.13	$13.51	$110.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $13.51 / $88.81	Professional		$12.28	$13.51	$88.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $12.28 / $28.40	Facility		$11.59	$12.28	$28.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $15.07	Professional		$12.28	$12.28	$15.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $15.96 / $49.69	Facility		$12.28	$15.96	$49.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $44.25	Professional		$12.28	$12.28	$44.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $70.00 / $80.00	Professional		$30.00	$70.00	$80.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.99 / $13.91 / $35.97	Facility		$11.99	$13.91	$35.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $22.88 / $36.65	Facility		$11.65	$22.88	$36.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $21.82 / $39.43	Professional		$19.07	$21.82	$39.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3.59 / $6.28 / $23.49	Facility		$3.59	$6.28	$23.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $13.51 / $14.74	Professional		$12.28	$13.51	$14.74
United Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $14.74	Professional		$12.28	$12.28	$14.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $17.13	Professional		$12.28	$12.28	$17.13