Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $41.26 / $211.26	Facility		$17.23	$41.26	$211.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $9.59 / $19.61	Professional		$7.01	$9.59	$19.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $7.95 / $7.95	Professional		$7.95	$7.95	$7.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $25.29 / $62.94	Facility		$13.91	$25.29	$62.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $13.25 / $21.52	Professional		$6.54	$13.25	$21.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $27.12 / $52.62	Facility		$8.98	$27.12	$52.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $15.28 / $19.10	Professional		$8.61	$15.28	$19.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $9.43 / $10.22	Professional		$9.43	$9.43	$10.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $13.91 / $29.25	Facility		$13.25	$13.91	$29.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $19.88 / $36.44	Facility		$13.25	$19.88	$36.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $15.35 / $18.80	Professional		$11.93	$15.35	$18.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.24 / $21.86 / $36.44	Facility		$15.24	$21.86	$36.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $13.25 / $35.93	Professional		$9.94	$13.25	$35.93
United Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $5.96 / $14.84	Professional		$5.57	$5.96	$14.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $5.96 / $6.86	Professional		$5.96	$5.96	$6.86