Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.09 / $52.23 / $111.75	Facility		$13.09	$52.23	$111.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $11.88 / $23.00	Professional		$9.75	$11.88	$23.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $9.16 / $24.40	Professional		$6.60	$9.16	$24.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13.85 / $25.72 / $81.59	Facility		$13.85	$25.72	$81.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $11.87 / $25.06	Professional		$6.51	$11.87	$25.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.14 / $27.00 / $38.57	Facility		$9.14	$27.00	$38.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $17.01 / $26.30	Professional		$9.11	$17.01	$26.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.39 / $12.72 / $13.99	Professional		$9.39	$12.72	$13.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.19 / $13.85 / $29.12	Facility		$13.19	$13.85	$29.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.19 / $19.79 / $36.27	Facility		$13.19	$19.79	$36.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $11.87 / $11.87	Professional		$11.87	$11.87	$11.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $21.76 / $36.27	Facility		$15.17	$21.76	$36.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $13.19 / $35.93	Professional		$9.89	$13.19	$35.93
United Facility/Professional Facility Modifier Low / Median / High Price $13.19 / $15.83 / $15.83	Facility		$13.19	$15.83	$15.83
United Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $5.54 / $13.19	Professional		$5.54	$5.54	$13.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $5.94 / $6.83	Professional		$5.94	$5.94	$6.83