Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $41.61 / $107.35	Facility		$18.05	$41.61	$107.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $16.34 / $17.52	Professional		$9.57	$16.34	$17.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $10.84 / $10.84	Professional		$10.84	$10.84	$10.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $41.54 / $135.00	Facility		$18.96	$41.54	$135.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $16.25 / $34.31	Professional		$8.92	$16.25	$34.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $32.75 / $52.83	Facility		$12.50	$32.75	$52.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $23.52 / $36.04	Professional		$12.57	$23.52	$36.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $17.42 / $19.16	Professional		$12.85	$17.42	$19.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $18.05 / $39.86	Facility		$18.05	$18.05	$39.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $27.09 / $49.67	Facility		$18.05	$27.09	$49.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $16.25 / $16.25	Professional		$16.25	$16.25	$16.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.77 / $29.80 / $49.67	Facility		$20.77	$29.80	$49.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $18.05 / $48.50	Professional		$13.55	$18.05	$48.50
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $20.23	Professional		$7.59	$7.59	$20.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $9.36	Professional		$8.13	$8.13	$9.36