Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $46.04 / $107.10	Facility		$18.14	$46.04	$107.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $16.71 / $17.63	Professional		$15.72	$16.71	$17.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $13.02 / $13.02	Professional		$13.02	$13.02	$13.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.69 / $37.50 / $100.00	Facility		$19.69	$37.50	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $17.05 / $32.35	Professional		$9.26	$17.05	$32.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.97 / $37.25 / $54.86	Facility		$12.97	$37.25	$54.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $24.56 / $37.50	Professional		$13.08	$24.56	$37.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $18.09 / $19.89	Professional		$13.35	$18.09	$19.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $19.69 / $43.05	Facility		$18.75	$19.69	$43.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $28.13 / $51.56	Facility		$18.75	$28.13	$51.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $16.88 / $16.88	Professional		$16.88	$16.88	$16.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.56 / $30.94 / $51.56	Facility		$21.56	$30.94	$51.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $18.75 / $50.30	Professional		$14.06	$18.75	$50.30
United Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $7.88 / $18.75	Professional		$7.88	$7.88	$18.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $8.44 / $9.71	Professional		$8.44	$8.44	$9.71