Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $36.63 / $96.06	Facility		$14.40	$36.63	$96.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $13.91 / $27.34	Professional		$11.86	$13.91	$27.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $9.19 / $9.19	Professional		$9.19	$9.19	$9.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16.09 / $30.64 / $127.51	Facility		$16.09	$30.64	$127.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $13.94 / $29.11	Professional		$7.57	$13.94	$29.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.60 / $31.37 / $51.01	Facility		$10.60	$31.37	$51.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $19.66 / $30.68	Professional		$10.67	$19.66	$30.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $14.78 / $16.25	Professional		$10.90	$14.78	$16.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $16.09 / $33.82	Facility		$15.32	$16.09	$33.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $22.98 / $42.13	Facility		$15.32	$22.98	$42.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $13.79 / $13.79	Professional		$13.79	$13.79	$13.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $25.28 / $42.13	Facility		$17.62	$25.28	$42.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $15.32 / $41.32	Professional		$11.49	$15.32	$41.32
United Facility/Professional Facility Modifier Low / Median / High Price $9.96 / $14.55 / $15.32	Facility		$9.96	$14.55	$15.32
United Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $6.43 / $17.16	Professional		$6.43	$6.43	$17.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $6.89 / $7.94	Professional		$6.89	$6.89	$7.94