Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $50.50 / $128.21	Facility		$12.43	$50.50	$128.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $12.41 / $26.40	Professional		$9.85	$12.41	$26.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $7.88 / $7.88	Professional		$7.88	$7.88	$7.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $20.68 / $60.00	Facility		$13.23	$20.68	$60.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $12.60 / $25.10	Professional		$6.55	$12.60	$25.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.38 / $25.80 / $42.10	Facility		$7.38	$25.80	$42.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $14.46 / $20.84	Professional		$7.23	$14.46	$20.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $12.33 / $29.84	Professional		$9.72	$12.33	$29.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $12.82 / $27.81	Facility		$12.60	$12.82	$27.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $12.60 / $12.60	Facility		$11.34	$12.60	$12.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $13.23 / $17.89	Professional		$11.34	$13.23	$17.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.49 / $20.68 / $34.65	Facility		$14.49	$20.68	$34.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $12.60 / $34.13	Professional		$9.44	$12.60	$34.13
United Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $5.29 / $14.11	Professional		$5.29	$5.29	$14.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $6.53 / $6.53	Professional		$6.53	$6.53	$6.53