Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $45.72 / $111.60	Facility		$10.74	$45.72	$111.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $10.29 / $19.92	Professional		$8.44	$10.29	$19.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $7.94 / $7.94	Professional		$6.86	$7.94	$7.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $26.29 / $100.00	Facility		$12.00	$26.29	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $10.40 / $19.75	Professional		$5.64	$10.40	$19.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.91 / $23.40 / $33.44	Facility		$7.91	$23.40	$33.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $15.18 / $22.89	Professional		$7.92	$15.18	$22.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.03 / $12.13	Professional		$8.13	$11.03	$12.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.43 / $12.00 / $28.70	Facility		$11.43	$12.00	$28.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.43 / $17.14 / $31.43	Facility		$11.43	$17.14	$31.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $10.29 / $10.29	Professional		$10.29	$10.29	$10.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.14 / $18.86 / $31.43	Facility		$13.14	$18.86	$31.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $11.43 / $30.54	Professional		$8.57	$11.43	$30.54
United Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $4.80 / $12.80	Professional		$4.80	$4.80	$12.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $5.14 / $5.92	Professional		$5.14	$5.14	$5.92