Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.23 / $52.17 / $142.80	Facility		$14.23	$52.17	$142.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $26.12 / $333.75	Professional		$12.87	$26.12	$333.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $10.41 / $25.48	Professional		$8.99	$10.41	$25.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.74 / $29.98 / $100.00	Facility		$15.74	$29.98	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $13.49 / $25.85	Professional		$7.40	$13.49	$25.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.38 / $30.68 / $43.83	Facility		$10.38	$30.68	$43.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $19.30 / $29.70	Professional		$10.50	$19.30	$29.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $14.46 / $15.90	Professional		$10.67	$14.46	$15.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $15.74 / $33.09	Facility		$14.99	$15.74	$33.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $22.49 / $41.22	Facility		$14.99	$22.49	$41.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $24.60 / $41.22	Facility		$17.23	$24.60	$41.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $14.99 / $40.42	Professional		$11.24	$14.99	$40.42
United Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $6.30 / $16.79	Professional		$6.30	$6.30	$16.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $6.75 / $7.76	Professional		$6.75	$6.75	$7.76