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 $15.44 / $15.44 / $15.44	Professional		$15.44	$15.44	$15.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $12.29	Professional		$5.01	$5.01	$12.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.68 / $112.04 / $112.04	Facility		$21.68	$112.04	$112.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $24.89 / $49.19	Professional		$5.62	$24.89	$49.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $24.78 / $34.24	Professional		$12.81	$24.78	$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 $21.68 / $21.68 / $21.68	Facility		$21.68	$21.68	$21.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $21.68 / $61.11	Professional		$21.68	$21.68	$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 $10.11 / $10.16 / $26.95	Professional		$10.11	$10.16	$26.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $12.42	Professional		$5.62	$5.62	$12.42