Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.57 / $53.00 / $103.88	Facility		$12.57	$53.00	$103.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $11.89 / $19.42	Professional		$9.69	$11.89	$19.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $9.11 / $24.27	Professional		$7.87	$9.11	$24.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13.78 / $25.58 / $128.35	Facility		$13.78	$25.58	$128.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $11.94 / $24.93	Professional		$6.48	$11.94	$24.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.09 / $23.80 / $38.39	Facility		$9.09	$23.80	$38.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $16.85 / $26.30	Professional		$9.11	$16.85	$26.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $12.66 / $13.92	Professional		$9.34	$12.66	$13.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $13.78 / $28.96	Facility		$13.12	$13.78	$28.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $19.68 / $36.08	Facility		$13.12	$19.68	$36.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $11.81 / $11.81	Professional		$11.81	$11.81	$11.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.09 / $21.65 / $36.08	Facility		$15.09	$21.65	$36.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $13.12 / $35.03	Professional		$9.84	$13.12	$35.03
United Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $5.51 / $13.12	Professional		$5.51	$5.51	$13.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $5.90 / $6.80	Professional		$5.90	$5.90	$6.80