Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.89 / $57.74 / $123.73	Facility		$13.89	$57.74	$123.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $11.96 / $21.96	Professional		$9.30	$11.96	$21.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $8.06 / $9.33	Professional		$8.06	$8.06	$9.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $27.44 / $77.00	Facility		$14.11	$27.44	$77.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $12.63 / $23.20	Professional		$6.64	$12.63	$23.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.30 / $27.53 / $39.33	Facility		$9.30	$27.53	$39.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $17.86 / $26.78	Professional		$9.30	$17.86	$26.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $12.97 / $14.26	Professional		$9.56	$12.97	$14.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $14.78 / $29.67	Facility		$13.44	$14.78	$29.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $20.16 / $36.96	Facility		$13.44	$20.16	$36.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $12.10 / $12.10	Professional		$12.10	$12.10	$12.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.46 / $22.18 / $36.96	Facility		$15.46	$22.18	$36.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $13.44 / $35.93	Professional		$10.08	$13.44	$35.93
United Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.64 / $13.44	Professional		$5.64	$5.64	$13.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $6.96	Professional		$6.05	$6.05	$6.96