Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $15.57 / $45.60	Facility		$4.21	$15.57	$45.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $3.84 / $6.40	Professional		$2.62	$3.84	$6.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4.48 / $8.53 / $100.00	Facility		$4.48	$8.53	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $3.84 / $6.80	Professional		$1.75	$3.84	$6.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.46 / $8.76 / $21.45	Facility		$2.46	$8.76	$21.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $4.96 / $7.30	Professional		$2.41	$4.96	$7.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $4.12 / $4.53	Professional		$3.04	$4.12	$4.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.70 / $9.43	Facility		$4.26	$4.70	$9.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $6.40 / $11.74	Facility		$4.26	$6.40	$11.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $3.84 / $3.84	Professional		$3.84	$3.84	$3.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $7.01 / $11.74	Facility		$4.91	$7.01	$11.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $4.26 / $11.68	Professional		$3.20	$4.26	$11.68
United Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $2.56 / $4.78	Professional		$2.56	$2.56	$4.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $1.92 / $2.21	Professional		$1.92	$1.92	$2.21