Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.16 / $39.11 / $107.99	Facility		$10.16	$39.11	$107.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $9.66 / $10.81	Professional		$7.99	$9.66	$10.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $7.51 / $7.51	Professional		$7.51	$7.51	$7.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11.35 / $24.86 / $144.00	Facility		$11.35	$24.86	$144.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $9.73 / $18.64	Professional		$5.34	$9.73	$18.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.49 / $22.14 / $44.53	Facility		$7.49	$22.14	$44.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $14.04 / $21.43	Professional		$7.57	$14.04	$21.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $10.43 / $11.47	Professional		$7.69	$10.43	$11.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $11.89 / $27.68	Facility		$10.81	$11.89	$27.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $16.22 / $29.73	Facility		$10.81	$16.22	$29.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $9.73 / $9.73	Professional		$9.73	$9.73	$9.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $17.84 / $29.73	Facility		$12.43	$17.84	$29.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $10.81 / $28.74	Professional		$8.11	$10.81	$28.74
United Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $4.54 / $10.81	Professional		$4.54	$4.54	$10.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $5.60	Professional		$4.86	$4.86	$5.60