Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.89 / $26.64 / $84.11	Facility		$13.89	$26.64	$84.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $11.91 / $21.48	Professional		$11.01	$11.91	$21.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $8.59 / $8.99	Professional		$8.59	$8.59	$8.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $29.95 / $80.00	Facility		$15.04	$29.95	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $12.89 / $27.08	Professional		$6.39	$12.89	$27.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $29.33 / $45.74	Facility		$8.94	$29.33	$45.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $16.85 / $25.81	Professional		$8.94	$16.85	$25.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $13.81 / $15.19	Professional		$10.19	$13.81	$15.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $15.04 / $36.90	Facility		$14.32	$15.04	$36.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $21.48 / $39.38	Facility		$14.32	$21.48	$39.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $12.89 / $12.89	Professional		$12.89	$12.89	$12.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.47 / $23.50 / $39.38	Facility		$16.47	$23.50	$39.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $14.32 / $38.61	Professional		$10.74	$14.32	$38.61
United Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $6.42 / $14.32	Professional		$6.01	$6.42	$14.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $6.44 / $7.42	Professional		$6.44	$6.44	$7.42