Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $32.86 / $113.59	Facility		$14.48	$32.86	$113.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $14.48 / $34.32	Professional		$9.44	$14.48	$34.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $16.71 / $16.71	Professional		$16.71	$16.71	$16.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.51 / $75.00 / $101.79	Facility		$19.51	$75.00	$101.79
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $19.29 / $126.41	Professional		$15.00	$19.29	$126.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.44 / $14.44 / $14.44	Facility		$14.44	$14.44	$14.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $14.44	Professional		$10.54	$10.54	$14.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11.83 / $22.28 / $54.37	Facility		$11.83	$22.28	$54.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $21.38 / $39.72	Professional		$11.84	$21.38	$39.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $17.07 / $18.77	Professional		$15.36	$17.07	$18.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.68 / $20.05 / $22.28	Facility		$17.68	$20.05	$22.28
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $20.05 / $22.28	Professional		$17.68	$20.05	$22.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.51 / $25.02 / $43.52	Facility		$19.51	$25.02	$43.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $18.50 / $28.09	Professional		$18.50	$18.50	$28.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.21 / $21.76 / $21.76	Facility		$21.21	$21.76	$21.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $18.94 / $24.51	Professional		$17.69	$18.94	$24.51
United Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $14.14 / $17.98	Professional		$9.43	$14.14	$17.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $6.24 / $18.94	Professional		$6.24	$6.24	$18.94