Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.98 / $58.94 / $114.00	Facility		$13.98	$58.94	$114.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $13.22 / $19.18	Professional		$12.40	$13.22	$19.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $10.13 / $10.13	Professional		$10.13	$10.13	$10.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $28.45 / $69.56	Facility		$15.32	$28.45	$69.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $13.28 / $27.72	Professional		$7.20	$13.28	$27.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.11 / $29.86 / $42.66	Facility		$10.11	$29.86	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $18.95 / $29.22	Professional		$10.16	$18.95	$29.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $14.07 / $15.47	Professional		$10.39	$14.07	$15.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.59 / $15.32 / $32.21	Facility		$14.59	$15.32	$32.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.59 / $21.88 / $40.11	Facility		$14.59	$21.88	$40.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $13.13 / $13.13	Professional		$13.13	$13.13	$13.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.78 / $24.07 / $40.11	Facility		$16.78	$24.07	$40.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $14.59 / $39.52	Professional		$10.94	$14.59	$39.52
United Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $7.30 / $14.59	Professional		$6.13	$7.30	$14.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $6.57 / $7.56	Professional		$6.57	$6.57	$7.56