Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.45 / $45.24 / $128.77	Facility		$18.45	$45.24	$128.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $17.71 / $19.63	Professional		$15.19	$17.71	$19.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $13.63 / $13.63	Professional		$11.78	$13.63	$13.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $40.07 / $100.00	Facility		$20.61	$40.07	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $17.86 / $33.85	Professional		$9.69	$17.86	$33.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $35.61 / $57.42	Facility		$13.58	$35.61	$57.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $25.27 / $38.96	Professional		$13.60	$25.27	$38.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $18.94 / $20.83	Professional		$13.97	$18.94	$20.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $20.61 / $43.33	Facility		$19.63	$20.61	$43.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $29.45 / $53.98	Facility		$19.63	$29.45	$53.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $17.67 / $17.67	Professional		$17.67	$17.67	$17.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.57 / $32.39 / $53.98	Facility		$22.57	$32.39	$53.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $19.63 / $52.99	Professional		$14.72	$19.63	$52.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $8.24 / $19.63	Professional		$8.24	$8.24	$19.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $8.83 / $10.17	Professional		$8.83	$8.83	$10.17