Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.32 / $10.60 / $45.95	Facility		$4.32	$10.60	$45.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.93 / $5.37	Professional		$2.29	$3.93	$5.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $2.76 / $3.19	Professional		$2.76	$2.76	$3.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4.83 / $12.65 / $100.00	Facility		$4.83	$12.65	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $4.19 / $7.95	Professional		$2.27	$4.19	$7.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.19 / $9.42 / $27.52	Facility		$3.19	$9.42	$27.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.27 / $5.97 / $9.25	Professional		$3.27	$5.97	$9.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.27 / $4.44 / $4.88	Professional		$3.27	$4.44	$4.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $4.83 / $10.15	Facility		$4.59	$4.83	$10.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $4.59 / $4.59	Facility		$4.13	$4.59	$4.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $4.13	Professional		$4.13	$4.13	$4.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5.29 / $7.59 / $12.65	Facility		$5.29	$7.59	$12.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $4.59 / $12.57	Professional		$3.45	$4.59	$12.57
United Facility/Professional Facility Modifier Low / Median / High Price $2.99 / $4.37 / $4.59	Facility		$2.99	$4.37	$4.59
United Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $1.93 / $4.59	Professional		$1.93	$1.93	$4.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $2.38 / $2.38	Professional		$2.38	$2.38	$2.38