Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.62 / $61.58 / $128.16	Facility		$15.62	$61.58	$128.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $14.82 / $22.60	Professional		$12.84	$14.82	$22.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $9.88 / $11.43	Professional		$9.88	$9.88	$11.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $33.61 / $100.00	Facility		$17.28	$33.61	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $14.98 / $28.40	Professional		$8.13	$14.98	$28.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.41 / $33.71 / $48.15	Facility		$11.41	$33.71	$48.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $21.88 / $33.11	Professional		$11.53	$21.88	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $15.88 / $17.46	Professional		$11.72	$15.88	$17.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.46 / $17.28 / $36.34	Facility		$16.46	$17.28	$36.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.46 / $24.69 / $45.27	Facility		$16.46	$24.69	$45.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $14.81 / $14.81	Professional		$14.81	$14.81	$14.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.93 / $27.16 / $45.27	Facility		$18.93	$27.16	$45.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $16.46 / $44.01	Professional		$12.35	$16.46	$44.01
United Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $6.91 / $18.44	Professional		$6.91	$6.91	$18.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $8.52	Professional		$7.41	$7.41	$8.52