Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.75 / $44.20 / $694.31	Facility		$8.75	$44.20	$694.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.77 / $8.19 / $13.63	Professional		$2.77	$8.19	$13.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $1.88 / $6.00	Professional		$1.61	$1.88	$6.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5.82 / $14.49 / $1,300.00	Facility		$5.82	$14.49	$1,300.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $4.16 / $12.54	Professional		$1.25	$4.16	$12.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.49 / $13.35 / $22.28	Facility		$1.49	$13.35	$22.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $3.25 / $9.98	Professional		$1.50	$3.25	$9.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.28 / $8.64 / $9.64	Professional		$6.28	$8.64	$9.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.10 / $9.09 / $12.73	Facility		$7.10	$9.09	$12.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $12.36 / $24.28	Facility		$3.00	$12.36	$24.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $7.95 / $12.54	Professional		$2.54	$7.95	$12.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $13.25 / $24.09	Facility		$9.27	$13.25	$24.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $9.09 / $24.25	Professional		$2.70	$9.09	$24.25
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $2.44 / $4.09	Professional		$2.44	$2.44	$4.09