Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $15.64 / $45.02	Facility		$3.95	$15.64	$45.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.52 / $5.42	Professional		$2.29	$3.52	$5.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.74 / $3.02	Professional		$2.37	$2.74	$3.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4.15 / $10.86 / $100.00	Facility		$4.15	$10.86	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $3.59 / $6.80	Professional		$1.95	$3.59	$6.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $8.10 / $16.60	Facility		$2.72	$8.10	$16.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $5.27 / $7.79	Professional		$2.75	$5.27	$7.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $3.81 / $4.19	Professional		$2.81	$3.81	$4.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $4.34 / $11.28	Facility		$3.95	$4.34	$11.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.56 / $3.95 / $3.95	Facility		$3.56	$3.95	$3.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $3.56 / $3.56	Professional		$3.56	$3.56	$3.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $6.52 / $10.86	Facility		$4.54	$6.52	$10.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $3.95 / $10.78	Professional		$2.96	$3.95	$10.78
United Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $1.98 / $4.42	Professional		$1.66	$1.98	$4.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04