Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $29.45 / $75.81	Facility		$13.76	$29.45	$75.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $12.47 / $13.76	Professional		$9.22	$12.47	$13.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $9.17 / $9.56	Professional		$9.17	$9.17	$9.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $28.10 / $81.00	Facility		$14.45	$28.10	$81.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $12.52 / $23.75	Professional		$6.80	$12.52	$23.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $28.16 / $46.96	Facility		$9.52	$28.16	$46.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $17.89 / $27.27	Professional		$9.64	$17.89	$27.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $13.27 / $14.59	Professional		$9.80	$13.27	$14.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $14.45 / $35.88	Facility		$13.76	$14.45	$35.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $20.64 / $37.84	Facility		$13.76	$20.64	$37.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $12.38 / $12.38	Professional		$12.38	$12.38	$12.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.82 / $22.70 / $37.84	Facility		$15.82	$22.70	$37.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $13.76 / $36.83	Professional		$10.32	$13.76	$36.83
United Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $6.19 / $13.76	Professional		$5.78	$6.19	$13.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $6.19 / $7.13	Professional		$6.19	$6.19	$7.13