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 $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $34.32 / $34.32	Professional		$34.32	$34.32	$34.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8.69 / $112.04 / $112.04	Facility		$8.69	$112.04	$112.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $24.84 / $49.19	Professional		$4.32	$24.84	$49.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $24.71 / $34.24	Professional		$12.81	$24.71	$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 $8.69 / $8.69 / $8.69	Facility		$8.69	$8.69	$8.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $8.69 / $61.11	Professional		$8.69	$8.69	$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 $9.09 / $10.16 / $24.18	Professional		$9.09	$10.16	$24.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $4.32 / $12.42	Professional		$4.32	$4.32	$12.42