Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $35.86 / $119.88	Facility		$12.00	$35.86	$119.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $10.89 / $21.78	Professional		$9.60	$10.89	$21.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $8.33 / $8.33	Professional		$8.33	$8.33	$8.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $24.49 / $142.00	Facility		$12.60	$24.49	$142.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $10.92 / $22.80	Professional		$5.92	$10.92	$22.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $24.57 / $127.11	Facility		$8.32	$24.57	$127.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $15.63 / $23.86	Professional		$8.26	$15.63	$23.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.54 / $11.58 / $12.73	Professional		$8.54	$11.58	$12.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $12.60 / $26.49	Facility		$12.00	$12.60	$26.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $18.00 / $33.00	Facility		$12.00	$18.00	$33.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $10.80 / $10.80	Professional		$10.80	$10.80	$10.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $19.80 / $33.00	Facility		$13.80	$19.80	$33.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $12.00 / $32.34	Professional		$9.00	$12.00	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $5.04 / $12.00	Professional		$5.04	$5.04	$12.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $5.40 / $6.22	Professional		$5.40	$5.40	$6.22