Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.14 / $38.93 / $119.65	Facility		$13.14	$38.93	$119.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $12.89 / $20.56	Professional		$10.28	$12.89	$20.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $11.65 / $23.31	Professional		$11.65	$11.65	$23.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $27.42 / $109.00	Facility		$14.40	$27.42	$109.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $12.48 / $23.65	Professional		$6.77	$12.48	$23.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.50 / $28.07 / $41.29	Facility		$9.50	$28.07	$41.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $15.91 / $27.27	Professional		$9.47	$15.91	$27.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $13.23 / $14.55	Professional		$9.76	$13.23	$14.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.71 / $15.08 / $30.26	Facility		$13.71	$15.08	$30.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.71 / $20.57 / $37.70	Facility		$13.71	$20.57	$37.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $12.34	Professional		$12.34	$12.34	$12.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.77 / $22.62 / $37.70	Facility		$15.77	$22.62	$37.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $13.71 / $36.83	Professional		$10.28	$13.71	$36.83
United Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $5.76 / $13.71	Professional		$5.76	$5.76	$13.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $7.10 / $7.10	Professional		$7.10	$7.10	$7.10