Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $26.79 / $26.79	Professional		$26.79	$26.79	$26.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $4.01	Professional		$4.01	$4.01	$4.01
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 $4.50 / $21.92 / $49.19	Professional		$4.50	$21.92	$49.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $24.26 / $34.24	Professional		$12.81	$24.26	$34.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $50.00	Professional		$45.00	$45.00	$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 $2.63 / $2.63 / $2.63	Facility		$2.63	$2.63	$2.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $61.11	Professional		$2.63	$2.63	$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 Facility Modifier Low / Median / High Price $13.62 / $15.56 / $22.74	Facility		$13.62	$15.56	$22.74
United Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $10.16 / $26.95	Professional		$8.94	$10.16	$26.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $12.42	Professional		$6.05	$6.05	$12.42