Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.63 / $44.59 / $103.26	Facility		$11.63	$44.59	$103.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.05 / $15.46	Professional		$8.32	$10.05	$15.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $6.76 / $7.82	Professional		$5.63	$6.76	$7.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11.82 / $21.96 / $60.00	Facility		$11.82	$21.96	$60.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $10.25 / $19.45	Professional		$5.56	$10.25	$19.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.80 / $23.06 / $32.94	Facility		$7.80	$23.06	$32.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $14.74 / $22.40	Professional		$7.75	$14.74	$22.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $10.86 / $11.94	Professional		$8.01	$10.86	$11.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.26 / $11.82 / $27.68	Facility		$11.26	$11.82	$27.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.26 / $16.89 / $30.97	Facility		$11.26	$16.89	$30.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $10.13 / $10.13	Professional		$10.13	$10.13	$10.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $18.57 / $30.97	Facility		$12.95	$18.57	$30.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $11.26 / $30.54	Professional		$8.44	$11.26	$30.54
United Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $4.73 / $11.26	Professional		$4.73	$4.73	$11.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.07 / $5.07 / $5.83	Professional		$5.07	$5.07	$5.83