Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.94 / $37.52 / $112.13	Facility		$10.94	$37.52	$112.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $19.80 / $29.73	Professional		$9.67	$19.80	$29.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.53 / $20.49	Professional		$7.23	$7.53	$20.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $20.93 / $60.00	Facility		$12.65	$20.93	$60.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.61 / $10.85 / $19.89	Professional		$4.61	$10.85	$19.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $19.42 / $30.39	Facility		$6.13	$19.42	$30.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $13.63 / $17.04	Professional		$12.53	$13.63	$17.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $11.62 / $12.78	Professional		$8.57	$11.62	$12.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $12.65 / $18.07	Facility		$12.05	$12.65	$18.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $18.07 / $33.14	Facility		$11.53	$18.07	$33.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $14.24 / $17.11	Professional		$9.80	$14.24	$17.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.86 / $19.77 / $33.14	Facility		$13.86	$19.77	$33.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $12.05 / $32.34	Professional		$9.03	$12.05	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $4.84 / $12.05	Professional		$4.84	$4.84	$12.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $5.42 / $6.24	Professional		$5.42	$5.42	$6.24