Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.91 / $59.17 / $138.60	Facility		$15.91	$59.17	$138.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $14.78 / $30.48	Professional		$8.98	$14.78	$30.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $11.76 / $28.80	Professional		$10.16	$11.76	$28.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.79 / $33.88 / $120.00	Facility		$17.79	$33.88	$120.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $15.92 / $29.25	Professional		$8.36	$15.92	$29.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $34.68 / $49.55	Facility		$11.74	$34.68	$49.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $19.41 / $33.60	Professional		$11.71	$19.41	$33.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $16.34 / $17.97	Professional		$12.06	$16.34	$17.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $17.79 / $44.08	Facility		$16.94	$17.79	$44.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $25.41 / $46.59	Facility		$16.94	$25.41	$46.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $15.25 / $15.25	Professional		$15.25	$15.25	$15.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.79 / $27.80 / $46.59	Facility		$17.79	$27.80	$46.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $16.94 / $45.81	Professional		$12.71	$16.94	$45.81
United Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $7.11 / $18.97	Professional		$7.11	$7.11	$18.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $7.62 / $8.77	Professional		$7.62	$7.62	$8.77