Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $44.03 / $96.96	Facility		$14.66	$44.03	$96.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $13.32 / $24.17	Professional		$9.61	$13.32	$24.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $10.27 / $10.27	Professional		$10.27	$10.27	$10.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.52 / $33.99 / $100.00	Facility		$15.52	$33.99	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $13.30 / $25.50	Professional		$7.30	$13.30	$25.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $30.27 / $43.25	Facility		$10.23	$30.27	$43.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $19.64 / $29.70	Professional		$10.33	$19.64	$29.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $14.26 / $15.68	Professional		$10.52	$14.26	$15.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.78 / $15.52 / $33.82	Facility		$14.78	$15.52	$33.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.78 / $22.17 / $40.64	Facility		$14.78	$22.17	$40.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $13.30 / $13.30	Professional		$13.30	$13.30	$13.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $24.39 / $40.65	Facility		$17.00	$24.39	$40.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $14.78 / $39.52	Professional		$11.09	$14.78	$39.52
United Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $6.21 / $16.55	Professional		$6.21	$6.21	$16.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $6.65 / $7.66	Professional		$6.65	$6.65	$7.66