Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.41 / $51.28 / $115.90	Facility		$12.41	$51.28	$115.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $11.54 / $22.58	Professional		$9.71	$11.54	$22.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $8.99 / $8.99	Professional		$7.77	$8.99	$8.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $26.43 / $80.00	Facility		$13.60	$26.43	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $12.17 / $22.35	Professional		$6.39	$12.17	$22.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $26.52 / $37.89	Facility		$8.94	$26.52	$37.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $16.97 / $25.81	Professional		$8.94	$16.97	$25.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $12.49 / $13.73	Professional		$9.22	$12.49	$13.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $13.60 / $33.82	Facility		$12.95	$13.60	$33.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $19.42 / $35.61	Facility		$12.95	$19.42	$35.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $11.66 / $11.66	Professional		$11.66	$11.66	$11.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $21.37 / $35.61	Facility		$14.89	$21.37	$35.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $12.95 / $35.03	Professional		$9.71	$12.95	$35.03
United Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $5.83 / $14.50	Professional		$5.44	$5.83	$14.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $5.83 / $6.71	Professional		$5.83	$5.83	$6.71