Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.50 / $56.25 / $120.88	Facility		$9.50	$56.25	$120.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $5.96 / $8.90	Professional		$4.95	$5.96	$8.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.65 / $12.40	Professional		$4.01	$4.65	$12.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7.04 / $15.41 / $100.00	Facility		$7.04	$15.41	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $6.03 / $11.55	Professional		$3.31	$6.03	$11.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $13.73 / $27.13	Facility		$4.63	$13.73	$27.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.65 / $8.93 / $13.15	Professional		$4.65	$8.93	$13.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $6.46 / $7.10	Professional		$4.76	$6.46	$7.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.70 / $7.04 / $14.79	Facility		$6.70	$7.04	$14.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.70 / $10.05 / $18.43	Facility		$6.70	$10.05	$18.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Professional		$6.03	$6.03	$6.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7.71 / $11.06 / $18.43	Facility		$7.71	$11.06	$18.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $6.70 / $17.96	Professional		$5.03	$6.70	$17.96
United Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $3.02 / $7.50	Professional		$2.81	$3.02	$7.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.47	Professional		$3.02	$3.02	$3.47