Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.40 / $11.79 / $771.23	Facility		$7.40	$11.79	$771.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $7.06 / $136.44	Professional		$6.73	$7.06	$136.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $6.73	Professional		$6.73	$6.73	$6.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8.73 / $13.97 / $274.26	Facility		$8.73	$13.97	$274.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $7.70 / $2,103.23	Professional		$6.73	$7.70	$2,103.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $6.66 / $16.14	Facility		$6.35	$6.66	$16.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $8.25	Professional		$6.73	$6.73	$8.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $25.77 / $210.45	Facility		$6.73	$25.77	$210.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $25.77 / $199.37	Professional		$6.73	$25.77	$199.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $7.59 / $30.00	Professional		$6.90	$7.59	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $8.02 / $20.94	Facility		$6.73	$8.02	$20.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.60 / $15.20 / $23.65	Facility		$7.60	$15.20	$23.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $8.98 / $15.32	Professional		$7.41	$8.98	$15.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8.73 / $11.84 / $53.54	Facility		$8.73	$11.84	$53.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $7.40 / $8.07	Professional		$6.73	$7.40	$8.07
United Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $8.08	Professional		$6.73	$6.73	$8.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $6.73 / $6.73	Professional		$6.66	$6.73	$6.73