Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $31.21 / $73.25	Facility		$13.44	$31.21	$73.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.17 / $12.28 / $16.07	Professional		$7.17	$12.28	$16.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $9.41 / $9.41	Professional		$9.41	$9.41	$9.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $25.85 / $64.31	Facility		$14.22	$25.85	$64.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $13.54 / $23.28	Professional		$6.69	$13.54	$23.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $30.02 / $60.72	Facility		$19.80	$30.02	$60.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $15.69 / $25.80	Professional		$8.36	$15.69	$25.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $14.22 / $29.89	Facility		$13.54	$14.22	$29.89
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 / $15.69 / $19.23	Professional		$12.19	$15.69	$19.23
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 / $15.16	Professional		$5.69	$5.69	$15.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.09 / $6.09 / $7.01	Professional		$6.09	$6.09	$7.01