Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.21 / $38.97 / $92.51	Facility		$16.21	$38.97	$92.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $15.34 / $30.28	Professional		$14.38	$15.34	$30.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.15 / $10.15 / $10.15	Professional		$10.15	$10.15	$10.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $34.52 / $100.00	Facility		$17.76	$34.52	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $15.22 / $29.15	Professional		$8.35	$15.22	$29.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $34.61 / $74.48	Facility		$11.70	$34.61	$74.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $21.76 / $33.60	Professional		$11.71	$21.76	$33.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $12.04 / $13.04	Professional		$12.04	$12.04	$13.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $17.76 / $43.05	Facility		$16.91	$17.76	$43.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $25.37 / $46.50	Facility		$16.91	$25.37	$46.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.22 / $15.22 / $15.22	Professional		$15.22	$15.22	$15.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.45 / $27.90 / $46.50	Facility		$19.45	$27.90	$46.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $16.91 / $45.81	Professional		$12.68	$16.91	$45.81
United Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $7.10 / $16.91	Professional		$7.10	$7.10	$16.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $7.61 / $8.76	Professional		$7.61	$7.61	$8.76