Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.70 / $49.73 / $97.12	Facility		$15.70	$49.73	$97.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $14.39 / $22.22	Professional		$12.74	$14.39	$22.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.04 / $11.04	Professional		$9.55	$11.04	$11.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16.72 / $31.84 / $75.62	Facility		$16.72	$31.84	$75.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $14.33 / $26.51	Professional		$7.86	$14.33	$26.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.99 / $32.60 / $46.58	Facility		$10.99	$32.60	$46.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $20.71 / $31.65	Professional		$11.02	$20.71	$31.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $15.36 / $16.89	Professional		$11.33	$15.36	$16.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.92 / $15.92 / $35.14	Facility		$15.92	$15.92	$35.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.33 / $15.92 / $15.92	Facility		$14.33	$15.92	$15.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $14.33 / $14.33	Professional		$14.33	$14.33	$14.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $26.27 / $43.78	Facility		$18.30	$26.27	$43.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $15.92 / $43.11	Professional		$11.94	$15.92	$43.11
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $10.14 / $17.82	Professional		$9.55	$10.14	$17.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $8.25 / $8.25	Professional		$8.25	$8.25	$8.25