Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $41.24 / $107.29	Facility		$10.30	$41.24	$107.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $9.72 / $14.74	Professional		$8.91	$9.72	$14.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $6.44 / $7.46	Professional		$6.44	$6.44	$7.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $21.48 / $125.61	Facility		$11.28	$21.48	$125.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $10.74 / $38.81	Professional		$5.30	$10.74	$38.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.44 / $21.99 / $39.67	Facility		$7.44	$21.99	$39.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $28.85 / $44.38	Professional		$16.07	$28.85	$44.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $10.28 / $11.39	Professional		$7.90	$10.28	$11.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $12.14 / $23.71	Facility		$10.74	$12.14	$23.71
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $10.74 / $10.74	Professional		$9.67	$10.74	$10.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $16.11 / $29.54	Facility		$10.74	$16.11	$29.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $9.67 / $9.67	Professional		$9.67	$9.67	$9.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.35 / $17.72 / $29.54	Facility		$12.35	$17.72	$29.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $10.97 / $75.45	Professional		$8.06	$10.97	$75.45
United Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $4.51 / $10.74	Professional		$4.51	$4.51	$10.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $4.83 / $5.56	Professional		$4.83	$4.83	$5.56