Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.95 / $53.05 / $134.83	Facility		$13.95	$53.05	$134.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $12.68 / $25.34	Professional		$8.63	$12.68	$25.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.73 / $10.11 / $11.15	Professional		$8.73	$10.11	$11.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $29.10 / $100.00	Facility		$15.28	$29.10	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $13.24 / $25.10	Professional		$7.18	$13.24	$25.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $29.80 / $42.57	Facility		$10.07	$29.80	$42.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $19.20 / $29.22	Professional		$10.16	$19.20	$29.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $14.04 / $15.44	Professional		$10.36	$14.04	$15.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.55 / $15.28 / $32.79	Facility		$14.55	$15.28	$32.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.55 / $21.83 / $40.01	Facility		$14.55	$21.83	$40.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $13.10 / $13.10	Professional		$13.10	$13.10	$13.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $24.01 / $40.01	Facility		$16.73	$24.01	$40.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $14.55 / $39.52	Professional		$10.91	$14.55	$39.52
United Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $6.55 / $16.30	Professional		$6.11	$6.55	$16.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $6.55 / $7.54	Professional		$6.55	$6.55	$7.54