Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.49 / $14.73 / $15.38	Facility		$6.49	$14.73	$15.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $8.24 / $18.32	Professional		$6.49	$8.24	$18.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $15.35 / $15.35	Professional		$15.35	$15.35	$15.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $24.42 / $90.00	Facility		$15.54	$24.42	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $9.94 / $137.82	Professional		$9.44	$9.94	$137.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $4.63 / $4.63	Professional		$4.63	$4.63	$4.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $18.20 / $38.38	Facility		$11.00	$18.20	$38.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $18.20 / $38.38	Professional		$11.20	$18.20	$38.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $11.37 / $60.00	Professional		$9.99	$11.37	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.10 / $11.37 / $12.51	Facility		$11.10	$11.37	$12.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $19.89 / $29.53	Facility		$9.94	$19.89	$29.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $11.10 / $12.76	Professional		$9.44	$11.10	$12.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $9.66 / $11.37	Professional		$9.18	$9.66	$11.37
United Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $5.67 / $9.19	Professional		$4.82	$5.67	$9.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $9.66 / $11.37	Professional		$9.66	$9.66	$11.37