Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $56.21 / $99.46	Facility		$25.46	$56.21	$99.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $16.37 / $24.78	Professional		$14.98	$16.37	$24.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $12.54 / $12.54	Professional		$12.54	$12.54	$12.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $36.10 / $137.69	Facility		$18.95	$36.10	$137.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $16.25 / $31.15	Professional		$8.91	$16.25	$31.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $36.95 / $53.44	Facility		$12.50	$36.95	$53.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $23.67 / $36.04	Professional		$12.57	$23.67	$36.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $17.41 / $19.15	Professional		$12.84	$17.41	$19.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $19.86 / $37.90	Facility		$18.05	$19.86	$37.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $27.08 / $49.64	Facility		$18.05	$27.08	$49.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $16.25 / $16.25	Professional		$16.25	$16.25	$16.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.76 / $29.78 / $49.64	Facility		$20.76	$29.78	$49.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $18.05 / $48.50	Professional		$13.54	$18.05	$48.50
United Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $9.02 / $20.22	Professional		$7.58	$9.02	$20.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $8.11 / $9.35	Professional		$8.11	$8.11	$9.35