Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $23.61 / $24.65	Facility		$10.40	$23.61	$24.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $24.65 / $45.00	Professional		$10.40	$24.65	$45.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.02 / $40.00 / $40.00	Professional		$14.02	$40.00	$40.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $24.92 / $39.15 / $99.52	Facility		$24.92	$39.15	$99.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $15.62 / $229.68	Professional		$15.13	$15.62	$229.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $7.44 / $7.44	Professional		$7.44	$7.44	$7.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $17.50 / $28.96 / $63.41	Facility		$17.50	$28.96	$63.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $29.58 / $63.41	Professional		$17.82	$29.58	$63.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.02 / $16.40 / $60.00	Professional		$16.02	$16.40	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $18.23 / $20.05	Facility		$17.80	$18.23	$20.05
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $14.42 / $14.42 / $14.42	Professional		$14.42	$14.42	$14.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.96 / $31.92 / $47.35	Facility		$15.96	$31.92	$47.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $17.80 / $20.47	Professional		$15.13	$17.80	$20.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $15.50 / $18.23	Professional		$14.73	$15.50	$18.23
United Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $9.10 / $14.75	Professional		$7.73	$9.10	$14.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $15.50 / $18.23	Professional		$15.50	$15.50	$18.23