Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.63 / $61.88 / $200.33	Facility		$13.63	$61.88	$200.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $11.88 / $33.78	Professional		$8.86	$11.88	$33.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $9.47 / $25.22	Professional		$8.18	$9.47	$25.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $27.26 / $100.00	Facility		$14.31	$27.26	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $12.40 / $22.73	Professional		$6.73	$12.40	$22.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.43 / $27.91 / $39.86	Facility		$9.43	$27.91	$39.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $16.36 / $27.27	Professional		$9.47	$16.36	$27.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.70 / $13.15 / $14.46	Professional		$9.70	$13.15	$14.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.63 / $14.31 / $30.09	Facility		$13.63	$14.31	$30.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.63 / $20.45 / $37.47	Facility		$13.63	$20.45	$37.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $12.27 / $12.27	Professional		$12.27	$12.27	$12.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.67 / $22.49 / $37.47	Facility		$15.67	$22.49	$37.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $13.63 / $36.83	Professional		$10.22	$13.63	$36.83
United Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $6.76 / $15.27	Professional		$5.72	$6.76	$15.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $6.13 / $7.06	Professional		$6.13	$6.13	$7.06