Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $54.30 / $151.71	Facility		$13.36	$54.30	$151.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $12.30 / $24.18	Professional		$11.35	$12.30	$24.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $9.41 / $11.51	Professional		$8.11	$9.41	$11.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $26.40 / $71.55	Facility		$14.22	$26.40	$71.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $12.73 / $23.40	Professional		$6.69	$12.73	$23.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.38 / $27.72 / $39.60	Facility		$9.38	$27.72	$39.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $17.86 / $27.27	Professional		$9.47	$17.86	$27.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $13.06 / $14.36	Professional		$9.64	$13.06	$14.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $14.89 / $41.00	Facility		$13.54	$14.89	$41.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $20.30 / $37.24	Facility		$13.54	$20.30	$37.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $12.19 / $12.19	Professional		$12.19	$12.19	$12.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.57 / $22.34 / $37.24	Facility		$15.57	$22.34	$37.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $13.54 / $36.83	Professional		$10.16	$13.54	$36.83
United Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $5.69 / $13.54	Professional		$5.69	$5.69	$13.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.09 / $6.09 / $7.01	Professional		$6.09	$6.09	$7.01