Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $26.61 / $81.90	Facility		$10.78	$26.61	$81.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $10.56 / $20.82	Professional		$9.76	$10.56	$20.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $6.88 / $7.97	Professional		$6.88	$6.88	$7.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $22.94 / $69.00	Facility		$12.04	$22.94	$69.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $10.44 / $20.00	Professional		$5.67	$10.44	$20.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.93 / $23.50 / $38.86	Facility		$7.93	$23.50	$38.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $15.18 / $22.89	Professional		$7.92	$15.18	$22.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $11.07 / $12.17	Professional		$8.16	$11.07	$12.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $12.04 / $25.32	Facility		$11.47	$12.04	$25.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $17.21 / $31.54	Facility		$11.47	$17.21	$31.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $10.32 / $10.32	Professional		$10.32	$10.32	$10.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.19 / $18.93 / $31.54	Facility		$13.19	$18.93	$31.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $11.47 / $30.54	Professional		$8.60	$11.47	$30.54
United Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $13.76 / $13.76	Facility		$11.47	$13.76	$13.76
United Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $5.16 / $11.47	Professional		$4.82	$5.16	$11.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.16 / $5.16 / $5.94	Professional		$5.16	$5.16	$5.94