Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.95 / $15.78 / $32.54	Facility		$6.95	$15.78	$32.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $9.27 / $27.00	Professional		$6.95	$9.27	$27.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $13.00	Professional		$13.00	$13.00	$13.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16.66 / $26.18 / $90.00	Facility		$16.66	$26.18	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.67 / $178.44	Professional		$10.11	$10.67	$178.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $4.97 / $4.97	Professional		$4.97	$4.97	$4.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11.50 / $20.48 / $49.22	Facility		$11.50	$20.48	$49.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $20.48 / $49.22	Professional		$11.71	$20.48	$49.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $10.97 / $60.00	Professional		$10.71	$10.97	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $12.19 / $13.41	Facility		$11.90	$12.19	$13.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.67 / $21.34 / $31.65	Facility		$10.67	$21.34	$31.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $11.90 / $13.68	Professional		$10.11	$11.90	$13.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $10.36 / $12.19	Professional		$9.84	$10.36	$12.19
United Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $6.22 / $9.86	Professional		$4.95	$6.22	$9.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $10.36 / $12.19	Professional		$10.36	$10.36	$12.19