Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $42.33 / $192.14	Facility		$11.51	$42.33	$192.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $10.36 / $18.95	Professional		$7.90	$10.36	$18.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $6.97 / $6.97	Professional		$6.97	$6.97	$6.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $22.64 / $137.50	Facility		$12.19	$22.64	$137.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $10.57 / $22.06	Professional		$5.73	$10.57	$22.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $18.72 / $33.97	Facility		$8.02	$18.72	$33.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $15.09 / $23.37	Professional		$8.09	$15.09	$23.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $11.20 / $12.32	Professional		$8.26	$11.20	$12.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $12.19 / $25.63	Facility		$11.61	$12.19	$25.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $17.42 / $31.93	Facility		$11.61	$17.42	$31.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $10.45 / $10.45	Professional		$10.45	$10.45	$10.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.35 / $19.16 / $31.93	Facility		$13.35	$19.16	$31.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $11.61 / $31.44	Professional		$8.71	$11.61	$31.44
United Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $4.88 / $13.00	Professional		$4.88	$4.88	$13.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $5.22 / $6.01	Professional		$5.22	$5.22	$6.01