Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.66 / $19.66 / $20.52	Facility		$8.66	$19.66	$20.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $13.97 / $34.00	Professional		$8.66	$13.97	$34.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $23.90 / $28.58	Professional		$17.71	$23.90	$28.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20.78 / $34.27 / $126.60	Facility		$20.78	$34.27	$126.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $13.01 / $293.29	Professional		$12.61	$13.01	$293.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $6.20 / $6.20	Professional		$6.20	$6.20	$6.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $14.50 / $27.23 / $80.93	Facility		$14.50	$27.23	$80.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.76 / $27.30 / $80.93	Professional		$14.76	$27.30	$80.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $15.20 / $60.00	Professional		$13.35	$15.20	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.84 / $15.20 / $16.72	Facility		$14.84	$15.20	$16.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.30 / $26.60 / $39.47	Facility		$13.30	$26.60	$39.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $14.84 / $17.07	Professional		$12.61	$14.84	$17.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $12.92 / $15.20	Professional		$12.27	$12.92	$15.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $9.66 / $12.29	Professional		$6.44	$9.66	$12.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $12.92 / $15.20	Professional		$12.92	$12.92	$15.20