Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $39.92 / $97.25	Facility		$16.59	$39.92	$97.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $15.59 / $20.30	Professional		$14.69	$15.59	$20.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $10.59 / $12.03	Professional		$10.59	$10.59	$12.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.53 / $35.29 / $96.00	Facility		$18.53	$35.29	$96.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $15.89 / $29.90	Professional		$8.55	$15.89	$29.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $36.13 / $51.62	Facility		$11.98	$36.13	$51.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $22.46 / $34.57	Professional		$12.05	$22.46	$34.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $17.03 / $18.73	Professional		$12.56	$17.03	$18.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $18.53 / $38.96	Facility		$17.64	$18.53	$38.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $26.47 / $48.54	Facility		$17.64	$26.47	$48.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $15.89 / $15.89	Professional		$15.89	$15.89	$15.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $28.96 / $48.54	Facility		$20.30	$28.96	$48.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $17.64 / $47.60	Professional		$13.24	$17.64	$47.60
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $21.18	Professional		$7.41	$7.41	$21.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $9.14	Professional		$7.94	$7.94	$9.14