Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.68 / $67.59 / $147.30	Facility		$18.68	$67.59	$147.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $17.55 / $33.86	Professional		$9.90	$17.55	$33.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $11.21 / $12.98	Professional		$11.21	$11.21	$12.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.61 / $51.37 / $155.00	Facility		$19.61	$51.37	$155.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $16.80 / $32.25	Professional		$9.23	$16.80	$32.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.93 / $38.24 / $56.27	Facility		$12.93	$38.24	$56.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $24.56 / $37.50	Professional		$13.08	$24.56	$37.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $18.02 / $19.82	Professional		$13.30	$18.02	$19.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.68 / $20.55 / $41.24	Facility		$18.68	$20.55	$41.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $18.68 / $18.68	Facility		$16.80	$18.68	$18.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.80 / $16.80	Professional		$16.80	$16.80	$16.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $30.82 / $51.37	Facility		$21.48	$30.82	$51.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.01 / $18.68 / $50.30	Professional		$14.01	$18.68	$50.30
United Facility/Professional Facility Modifier Low / Median / High Price $18.68 / $22.42 / $22.42	Facility		$18.68	$22.42	$22.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $8.41 / $20.92	Professional		$7.85	$8.41	$20.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $9.68 / $9.68	Professional		$9.68	$9.68	$9.68