Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $5.04 / $11.38	Facility		$4.80	$5.04	$11.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $6.58 / $13.62	Professional		$4.80	$6.58	$13.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $11.37 / $11.37	Professional		$6.32	$11.37	$11.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $18.07 / $90.00	Facility		$11.51	$18.07	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.99 / $7.37 / $137.82	Professional		$6.99	$7.37	$137.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.44 / $3.44	Professional		$3.44	$3.44	$3.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $14.18 / $38.38	Facility		$8.00	$14.18	$38.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $14.84 / $38.38	Professional		$8.14	$14.84	$38.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $7.57 / $60.00	Professional		$7.39	$7.57	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.22 / $8.42 / $9.26	Facility		$8.22	$8.42	$9.26
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $8.42 / $8.42	Professional		$8.42	$8.42	$8.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.37 / $14.74 / $21.87	Facility		$7.37	$14.74	$21.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.99 / $8.22 / $9.44	Professional		$6.99	$8.22	$9.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $7.16 / $8.42	Professional		$6.80	$7.16	$8.42
United Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $5.36 / $6.81	Professional		$3.57	$5.36	$6.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $7.16 / $8.42	Professional		$7.16	$7.16	$8.42