Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $54.00 / $201.45	Facility		$13.73	$54.00	$201.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.32 / $24.10	Professional		$10.23	$12.32	$24.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $8.30 / $9.61	Professional		$8.30	$8.30	$9.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.53 / $26.99 / $212.16	Facility		$14.53	$26.99	$212.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $13.01 / $26.30	Professional		$6.83	$13.01	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.58 / $28.35 / $46.96	Facility		$9.58	$28.35	$46.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $17.89 / $27.76	Professional		$9.64	$17.89	$27.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $13.35 / $14.68	Professional		$9.85	$13.35	$14.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $14.53 / $30.55	Facility		$13.84	$14.53	$30.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $20.76 / $38.06	Facility		$13.84	$20.76	$38.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $12.46 / $12.46	Professional		$12.46	$12.46	$12.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.92 / $22.84 / $38.06	Facility		$15.92	$22.84	$38.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $13.84 / $37.72	Professional		$10.38	$13.84	$37.72
United Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $16.61 / $16.61	Facility		$13.84	$16.61	$16.61
United Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $6.23 / $15.50	Professional		$5.81	$6.23	$15.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $6.23 / $7.17	Professional		$6.23	$6.23	$7.17