Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.56 / $67.50 / $463.75	Facility		$11.56	$67.50	$463.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $6.74 / $9.89	Professional		$3.47	$6.74	$9.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $5.88 / $15.65	Professional		$5.08	$5.88	$15.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8.88 / $16.92 / $80.30	Facility		$8.88	$16.92	$80.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.18 / $7.62 / $14.60	Professional		$4.18	$7.62	$14.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.85 / $17.32 / $27.52	Facility		$5.85	$17.32	$27.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $9.67 / $17.04	Professional		$5.85	$9.67	$17.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $8.16 / $8.97	Professional		$6.02	$8.16	$8.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.46 / $9.31 / $22.55	Facility		$8.46	$9.31	$22.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.61 / $8.46 / $8.46	Facility		$7.61	$8.46	$8.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $7.61 / $7.61	Professional		$7.61	$7.61	$7.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9.73 / $13.88 / $23.27	Facility		$9.73	$13.88	$23.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $8.46 / $22.46	Professional		$6.35	$8.46	$22.46
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.55 / $8.46	Professional		$3.55	$3.55	$8.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $4.38 / $4.38	Professional		$4.38	$4.38	$4.38