Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $30.17 / $31.50	Facility		$13.29	$30.17	$31.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.89 / $52.00	Professional		$12.88	$16.89	$52.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $18.05 / $36.67	Professional		$17.48	$18.05	$36.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $31.88 / $50.09 / $117.78	Facility		$31.88	$50.09	$117.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $19.97 / $272.08	Professional		$19.35	$19.97	$272.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $9.51 / $9.51	Professional		$9.51	$9.51	$9.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $36.40 / $74.26	Facility		$22.00	$36.40	$74.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $36.40 / $74.26	Professional		$22.40	$36.40	$74.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.98 / $25.04 / $31.87	Professional		$20.98	$25.04	$31.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.77 / $23.32 / $25.65	Facility		$22.77	$23.32	$25.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.41 / $40.82 / $60.57	Facility		$20.41	$40.82	$60.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $22.77 / $26.19	Professional		$19.35	$22.77	$26.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $19.82 / $23.32	Professional		$18.82	$19.82	$23.32
United Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $11.63 / $18.86	Professional		$9.88	$11.63	$18.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $19.82 / $23.32	Professional		$19.82	$19.82	$23.32