Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $29.68 / $94.23	Facility		$12.25	$29.68	$94.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $22.16 / $129.72	Professional		$11.08	$22.16	$129.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $9.03 / $9.03	Professional		$9.03	$9.03	$9.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13.68 / $25.41 / $158.04	Facility		$13.68	$25.41	$158.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $12.25 / $24.76	Professional		$6.43	$12.25	$24.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.01 / $23.62 / $38.11	Facility		$9.01	$23.62	$38.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $16.85 / $25.81	Professional		$9.11	$16.85	$25.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $12.57 / $13.82	Professional		$9.27	$12.57	$13.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.03 / $14.33 / $28.76	Facility		$13.03	$14.33	$28.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.03 / $19.54 / $35.83	Facility		$13.03	$19.54	$35.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $11.73 / $11.73	Professional		$11.73	$11.73	$11.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.98 / $21.50 / $35.83	Facility		$14.98	$21.50	$35.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.03 / $35.03	Professional		$9.77	$13.03	$35.03
United Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $5.47 / $13.03	Professional		$5.47	$5.47	$13.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $5.86 / $6.75	Professional		$5.86	$5.86	$6.75