Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $51.23 / $120.93	Facility		$14.94	$51.23	$120.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $13.08 / $16.72	Professional		$12.26	$13.08	$16.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $10.03 / $10.03	Professional		$10.03	$10.03	$10.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.18 / $28.20 / $97.00	Facility		$15.18	$28.20	$97.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $13.16 / $27.21	Professional		$7.14	$13.16	$27.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.99 / $23.31 / $42.30	Facility		$9.99	$23.31	$42.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $16.93 / $28.73	Professional		$9.99	$16.93	$28.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $13.95 / $15.34	Professional		$10.29	$13.95	$15.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $15.91 / $31.92	Facility		$14.46	$15.91	$31.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $21.69 / $39.77	Facility		$14.46	$21.69	$39.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $13.01 / $13.01	Professional		$13.01	$13.01	$13.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.63 / $23.86 / $39.77	Facility		$16.63	$23.86	$39.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $14.46 / $38.61	Professional		$10.85	$14.46	$38.61
United Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $6.07 / $14.46	Professional		$6.07	$6.07	$14.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $6.51 / $7.49	Professional		$6.51	$6.51	$7.49