Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.92 / $69.81 / $105.33	Facility		$22.92	$69.81	$105.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.65 / $15.66 / $17.63	Professional		$13.65	$15.66	$17.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $12.24 / $12.24	Professional		$12.24	$12.24	$12.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.51 / $40.54 / $100.00	Facility		$18.51	$40.54	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $16.04 / $30.45	Professional		$8.71	$16.04	$30.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $28.42 / $51.57	Facility		$12.21	$28.42	$51.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $22.82 / $35.06	Professional		$12.22	$22.82	$35.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $17.01 / $18.71	Professional		$12.55	$17.01	$18.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.63 / $18.51 / $44.08	Facility		$17.63	$18.51	$44.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.63 / $26.45 / $48.48	Facility		$17.63	$26.45	$48.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.87 / $15.87 / $15.87	Professional		$15.87	$15.87	$15.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.27 / $29.09 / $48.48	Facility		$20.27	$29.09	$48.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $17.63 / $47.60	Professional		$13.22	$17.63	$47.60
United Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $7.40 / $17.63	Professional		$7.40	$7.40	$17.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.93 / $7.93 / $9.13	Professional		$7.93	$7.93	$9.13