Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $71.98 / $455.78	Facility		$0.02	$71.98	$455.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $37.36 / $37.36	Professional		$37.36	$37.36	$37.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $112.04 / $112.04	Facility		$50.00	$112.04	$112.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $17.59 / $49.19	Professional		$4.46	$17.59	$49.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $19.62 / $34.24	Professional		$12.81	$19.62	$34.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.60 / $48.24 / $142.88	Facility		$39.60	$48.24	$142.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $12.19 / $12.19	Facility		$12.19	$12.19	$12.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $12.19 / $61.11	Professional		$12.19	$12.19	$61.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Facility		$32.34	$32.34	$32.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $32.34 / $64.67	Professional		$28.58	$32.34	$64.67
United Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $10.16 / $24.18	Professional		$6.21	$10.16	$24.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $4.46 / $12.42	Professional		$4.46	$4.46	$12.42