Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $13.86 / $55.25	Facility		$4.80	$13.86	$55.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $4.26 / $5.84	Professional		$2.58	$4.26	$5.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $3.39	Professional		$2.93	$2.93	$3.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $13.42 / $100.00	Facility		$5.12	$13.42	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $4.44 / $8.44	Professional		$2.41	$4.44	$8.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $9.99 / $26.72	Facility		$3.39	$9.99	$26.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $6.32 / $9.74	Professional		$3.44	$6.32	$9.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.71 / $5.18	Professional		$3.47	$4.71	$5.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $5.12 / $10.77	Facility		$4.88	$5.12	$10.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $4.88 / $4.88	Facility		$4.38	$4.88	$4.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $4.38 / $4.38	Professional		$4.38	$4.38	$4.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5.61 / $8.05 / $13.42	Facility		$5.61	$8.05	$13.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $4.88 / $13.47	Professional		$3.66	$4.88	$13.47
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.44 / $4.88	Professional		$2.04	$2.44	$4.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $2.52 / $2.52	Professional		$2.52	$2.52	$2.52