Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.34 / $23.47 / $24.51	Facility		$10.34	$23.47	$24.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $14.60 / $37.18	Professional		$10.34	$14.60	$37.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $34.07	Professional		$20.00	$20.00	$34.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $24.78 / $38.94 / $126.60	Facility		$24.78	$38.94	$126.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $15.53 / $293.29	Professional		$15.05	$15.53	$293.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $7.39 / $7.39	Professional		$7.39	$7.39	$7.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $30.73 / $80.93	Facility		$17.00	$30.73	$80.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $31.64 / $80.93	Professional		$17.30	$31.64	$80.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $16.30 / $60.00	Professional		$15.93	$16.30	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $18.12 / $19.93	Facility		$17.70	$18.12	$19.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.87 / $31.74 / $47.08	Facility		$15.87	$31.74	$47.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $17.70 / $20.35	Professional		$15.05	$17.70	$20.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $15.40 / $18.12	Professional		$14.63	$15.40	$18.12
United Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $9.24 / $14.66	Professional		$7.69	$9.24	$14.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $15.40 / $18.12	Professional		$15.40	$15.40	$18.12