Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $13.87 / $32.86	Facility		$12.75	$13.87	$32.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $21.29 / $56.00	Professional		$13.87	$21.29	$56.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $40.42 / $53.00	Professional		$25.00	$40.42	$53.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $33.24 / $52.23 / $154.32	Facility		$33.24	$52.23	$154.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $20.18 / $21.29 / $355.12	Professional		$20.18	$21.29	$355.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $9.92 / $9.92	Professional		$9.92	$9.92	$9.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $41.76 / $97.62	Facility		$23.50	$41.76	$97.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $41.76 / $97.62	Professional		$23.93	$41.76	$97.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $24.31 / $60.00	Professional		$21.36	$24.31	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.74 / $24.31 / $26.74	Facility		$23.74	$24.31	$26.74
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $19.32	Professional		$19.32	$19.32	$19.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.29 / $42.58 / $63.15	Facility		$21.29	$42.58	$63.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.18 / $23.74 / $27.30	Professional		$20.18	$23.74	$27.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $20.66 / $24.31	Professional		$19.63	$20.66	$24.31
United Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $12.40 / $19.67	Professional		$10.31	$12.40	$19.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $20.66 / $24.31	Professional		$20.66	$20.66	$24.31