Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.16 / $39.54 / $93.87	Facility		$17.16	$39.54	$93.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $15.43 / $16.13	Professional		$13.28	$15.43	$16.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $10.30	Professional		$10.30	$10.30	$10.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $33.46 / $103.00	Facility		$18.02	$33.46	$103.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $15.44 / $29.60	Professional		$8.48	$15.44	$29.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $35.11 / $50.18	Facility		$11.88	$35.11	$50.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $22.77 / $34.09	Professional		$11.88	$22.77	$34.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $12.21 / $13.24	Professional		$12.21	$12.21	$13.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.16 / $18.02 / $37.88	Facility		$17.16	$18.02	$37.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.16 / $25.74 / $47.19	Facility		$17.16	$25.74	$47.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $15.44 / $15.44	Professional		$15.44	$15.44	$15.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $28.31 / $47.19	Facility		$19.73	$28.31	$47.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $17.16 / $46.71	Professional		$12.87	$17.16	$46.71
United Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $8.51 / $17.16	Professional		$7.21	$8.51	$17.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $7.72 / $8.89	Professional		$7.72	$7.72	$8.89