Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.18 / $35.79 / $96.30	Facility		$15.18	$35.79	$96.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $12.57 / $21.01	Professional		$7.65	$12.57	$21.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $9.18 / $9.18	Professional		$9.18	$9.18	$9.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $28.98 / $72.68	Facility		$16.07	$28.98	$72.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $13.20 / $24.92	Professional		$6.12	$13.20	$24.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.92 / $31.34 / $43.32	Facility		$7.92	$31.34	$43.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $17.35 / $22.89	Professional		$8.14	$17.35	$22.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $14.76 / $16.23	Professional		$10.89	$14.76	$16.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $16.07 / $33.77	Facility		$15.30	$16.07	$33.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $22.95 / $42.08	Facility		$15.30	$22.95	$42.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $13.77 / $13.77	Professional		$13.77	$13.77	$13.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $25.11 / $42.08	Facility		$17.60	$25.11	$42.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.30 / $41.32	Professional		$11.48	$15.30	$41.32
United Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $6.43 / $15.30	Professional		$6.43	$6.43	$15.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $6.89 / $7.93	Professional		$6.89	$6.89	$7.93