Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $68.39 / $318.60	Facility		$16.23	$68.39	$318.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $15.49 / $80.78	Professional		$11.29	$15.49	$80.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $10.36 / $10.36	Professional		$10.36	$10.36	$10.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.13 / $34.54 / $123.64	Facility		$18.13	$34.54	$123.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $14.92 / $27.75	Professional		$6.91	$14.92	$27.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $35.36 / $280.52	Facility		$8.94	$35.36	$280.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $19.82 / $25.81	Professional		$9.17	$19.82	$25.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $16.66 / $18.32	Professional		$12.29	$16.66	$18.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $18.13 / $38.11	Facility		$17.27	$18.13	$38.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $17.27 / $17.27	Facility		$15.54	$17.27	$17.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $15.54 / $15.54	Professional		$15.54	$15.54	$15.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.86 / $28.34 / $47.49	Facility		$19.86	$28.34	$47.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $17.27 / $46.71	Professional		$12.95	$17.27	$46.71
United Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $20.72 / $20.72	Facility		$17.27	$20.72	$20.72
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $17.27	Professional		$7.25	$7.25	$17.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $8.94 / $8.94	Professional		$8.94	$8.94	$8.94