Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $22.59 / $73.92	Facility		$5.01	$22.59	$73.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $4.38 / $6.24	Professional		$3.04	$4.38	$6.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $3.48 / $9.28	Professional		$3.01	$3.48	$9.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5.27 / $9.78 / $60.00	Facility		$5.27	$9.78	$60.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $4.57 / $8.65	Professional		$2.48	$4.57	$8.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $10.27 / $17.01	Facility		$3.49	$10.27	$17.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $6.67 / $10.23	Professional		$3.44	$6.67	$10.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $4.84 / $5.32	Professional		$3.57	$4.84	$5.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.52 / $11.08	Facility		$5.01	$5.52	$11.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $7.53 / $13.81	Facility		$5.01	$7.53	$13.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $4.51 / $4.51	Professional		$4.51	$4.51	$4.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $8.24 / $13.81	Facility		$5.77	$8.24	$13.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $5.01 / $13.47	Professional		$3.77	$5.01	$13.47
United Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.11 / $5.62	Professional		$2.11	$2.11	$5.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $2.60	Professional		$2.25	$2.25	$2.60