Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.85 / $42.16 / $127.92	Facility		$12.85	$42.16	$127.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $12.73 / $24.60	Professional		$7.56	$12.73	$24.60
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 / $26.40 / $108.80	Facility		$14.22	$26.40	$108.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $12.32 / $23.40	Professional		$6.69	$12.32	$23.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.38 / $27.72 / $41.69	Facility		$9.38	$27.72	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $17.55 / $27.27	Professional		$9.47	$17.55	$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 / $39.97	Facility		$13.54	$14.89	$39.97
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