Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.52 / $46.08 / $92.89	Facility		$15.52	$46.08	$92.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $11.80 / $22.68	Professional		$10.06	$11.80	$22.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.81 / $7.81 / $7.81	Professional		$7.81	$7.81	$7.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13.66 / $26.02 / $108.48	Facility		$13.66	$26.02	$108.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $11.71 / $21.68	Professional		$6.42	$11.71	$21.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $26.65 / $94.72	Facility		$9.00	$26.65	$94.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $16.97 / $25.81	Professional		$9.11	$16.97	$25.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $12.55 / $13.80	Professional		$9.26	$12.55	$13.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.01 / $13.66 / $28.72	Facility		$13.01	$13.66	$28.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.01 / $19.52 / $35.78	Facility		$13.01	$19.52	$35.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $11.71 / $11.71	Professional		$11.71	$11.71	$11.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.96 / $21.47 / $35.78	Facility		$14.96	$21.47	$35.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $13.01 / $35.03	Professional		$9.76	$13.01	$35.03
United Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $6.51 / $13.01	Professional		$5.46	$6.51	$13.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $5.85 / $6.74	Professional		$5.85	$5.85	$6.74