Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $63.13 / $243.77	Facility		$17.39	$63.13	$243.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $30.86 / $41.72	Professional		$15.70	$30.86	$41.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $10.89 / $12.60	Professional		$10.89	$10.89	$12.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $36.28 / $54,379.00	Facility		$19.05	$36.28	$54,379.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $17.05 / $34.47	Professional		$8.96	$17.05	$34.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.56 / $37.14 / $53.06	Facility		$12.56	$37.14	$53.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $24.11 / $36.04	Professional		$12.57	$24.11	$36.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $17.50 / $19.25	Professional		$12.91	$17.50	$19.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $19.05 / $40.04	Facility		$18.14	$19.05	$40.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $27.21 / $49.89	Facility		$18.14	$27.21	$49.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $16.32 / $16.32	Professional		$16.32	$16.32	$16.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $29.93 / $49.89	Facility		$20.86	$29.93	$49.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $18.14 / $48.50	Professional		$13.61	$18.14	$48.50
United Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $9.09 / $18.14	Professional		$7.62	$9.09	$18.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $8.16 / $9.40	Professional		$8.16	$8.16	$9.40