Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.55 / $61.67 / $106.20	Facility		$15.55	$61.67	$106.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $14.32 / $22.76	Professional		$11.88	$14.32	$22.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $12.31	Professional		$9.64	$9.64	$12.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $31.32 / $124.96	Facility		$16.86	$31.32	$124.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.93 / $14.61 / $29.32	Professional		$7.93	$14.61	$29.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.13 / $32.89 / $46.98	Facility		$11.13	$32.89	$46.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $20.99 / $32.14	Professional		$11.19	$20.99	$32.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $15.49 / $17.03	Professional		$11.43	$15.49	$17.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $16.86 / $35.45	Facility		$16.05	$16.86	$35.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $24.09 / $44.17	Facility		$16.05	$24.09	$44.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.47 / $26.50 / $44.17	Facility		$18.47	$26.50	$44.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $16.05 / $43.11	Professional		$12.05	$16.05	$43.11
United Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $6.75 / $16.05	Professional		$6.75	$6.75	$16.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.23 / $8.32	Professional		$7.23	$7.23	$8.32