Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $30.26 / $33.89	Facility		$0.02	$30.26	$33.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $13.51 / $30.26	Professional		$12.80	$13.51	$30.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $10.80 / $10.80	Professional		$10.80	$10.80	$10.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $45.78 / $73.23 / $166.51	Facility		$45.78	$73.23	$166.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $22.30 / $72.17	Professional		$7.20	$22.30	$72.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $2.86 / $26.44	Facility		$1.62	$2.86	$26.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $27.79 / $48.68	Professional		$18.95	$27.79	$48.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $28.05 / $41.50	Professional		$13.28	$28.05	$41.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.55 / $72.67 / $73.70	Facility		$42.55	$72.67	$73.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $34.00 / $37.20	Facility		$30.00	$34.00	$37.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $36.02 / $36.02	Professional		$36.02	$36.02	$36.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $45.78 / $54.93 / $104.37	Facility		$45.78	$54.93	$104.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $49.90 / $98.80	Professional		$18.73	$49.90	$98.80
United Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $18.19 / $41.37	Professional		$8.63	$18.19	$41.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $7.20 / $18.97	Professional		$7.20	$7.20	$18.97