Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $17.75 / $8,945.26	Facility		$11.59	$17.75	$8,945.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $11.07 / $17.79	Professional		$10.54	$11.07	$17.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $12.12 / $12.12	Professional		$12.12	$12.12	$12.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $19.86 / $100.00	Facility		$12.30	$19.86	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $11.59 / $1,253.85	Professional		$10.54	$11.59	$1,253.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $10.54 / $32.83	Facility		$9.94	$10.54	$32.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $12.98	Professional		$10.54	$10.54	$12.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $13.70 / $34.38	Facility		$10.54	$13.70	$34.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $13.70 / $28.80	Professional		$10.54	$13.70	$28.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $13.33 / $30.00	Professional		$11.59	$13.33	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $13.18 / $25.21	Facility		$10.54	$13.18	$25.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $21.87 / $40.02	Facility		$12.86	$21.87	$40.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $17.23 / $31.16	Professional		$15.07	$17.23	$31.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $15.23 / $27.96	Facility		$11.59	$15.23	$27.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $11.59 / $12.65	Professional		$10.54	$11.59	$12.65
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $12.65	Professional		$10.54	$10.54	$12.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $13.54	Professional		$10.54	$10.54	$13.54