Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $49.63 / $135.62	Facility		$13.28	$49.63	$135.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $12.25 / $13.31	Professional		$8.92	$12.25	$13.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $9.52 / $9.52	Professional		$9.52	$9.52	$9.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $27.99 / $222.00	Facility		$14.41	$27.99	$222.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $12.49 / $23.65	Professional		$6.78	$12.49	$23.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.49 / $28.10 / $72.05	Facility		$9.49	$28.10	$72.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $17.86 / $27.27	Professional		$9.47	$17.86	$27.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $13.24 / $14.56	Professional		$9.76	$13.24	$14.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $14.41 / $34.85	Facility		$13.72	$14.41	$34.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $20.58 / $37.72	Facility		$13.72	$20.58	$37.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $12.35 / $12.35	Professional		$12.35	$12.35	$12.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.78 / $22.64 / $37.72	Facility		$15.78	$22.64	$37.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $13.72 / $36.83	Professional		$10.29	$13.72	$36.83
United Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $16.46 / $16.46	Facility		$13.72	$16.46	$16.46
United Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $5.76 / $13.72	Professional		$5.76	$5.76	$13.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $7.11	Professional		$6.17	$6.17	$7.11