Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $67.76 / $193.56	Facility		$16.39	$67.76	$193.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $15.09 / $30.18	Professional		$13.55	$15.09	$30.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $11.76 / $12.98	Professional		$10.16	$11.76	$12.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.79 / $38.96 / $100.00	Facility		$17.79	$38.96	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $15.92 / $29.25	Professional		$8.36	$15.92	$29.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $34.68 / $78.94	Facility		$11.74	$34.68	$78.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $22.33 / $33.60	Professional		$11.71	$22.33	$33.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $16.34 / $17.97	Professional		$12.06	$16.34	$17.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $17.79 / $38.95	Facility		$16.94	$17.79	$38.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $25.41 / $46.59	Facility		$16.94	$25.41	$46.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $15.25 / $15.25	Professional		$15.25	$15.25	$15.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $27.95 / $46.59	Facility		$19.48	$27.95	$46.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $16.94 / $45.81	Professional		$12.71	$16.94	$45.81
United Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $7.62 / $20.32	Professional		$7.11	$7.62	$20.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $7.62 / $8.77	Professional		$7.62	$7.62	$8.77