Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.75 / $44.47 / $87.99	Facility		$15.75	$44.47	$87.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $13.67 / $17.60	Professional		$8.88	$13.67	$17.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $10.06 / $10.48	Professional		$10.06	$10.06	$10.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $46.09 / $100.00	Facility		$17.60	$46.09	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $15.08 / $31.84	Professional		$7.44	$15.08	$31.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.44 / $27.93 / $48.40	Facility		$10.44	$27.93	$48.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $19.66 / $30.19	Professional		$10.50	$19.66	$30.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $16.17 / $17.78	Professional		$11.93	$16.17	$17.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $17.60 / $38.95	Facility		$16.76	$17.60	$38.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.08 / $16.76 / $16.76	Facility		$15.08	$16.76	$16.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $15.08 / $15.08	Professional		$15.08	$15.08	$15.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.27 / $27.50 / $46.09	Facility		$19.27	$27.50	$46.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $16.76 / $44.91	Professional		$12.57	$16.76	$44.91
United Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $10.06 / $18.77	Professional		$10.06	$10.06	$18.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $8.68 / $8.68	Professional		$8.68	$8.68	$8.68