Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $40.28 / $108.76	Facility		$14.13	$40.28	$108.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $25.84 / $30.06	Professional		$13.09	$25.84	$30.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $10.44 / $10.44	Professional		$10.44	$10.44	$10.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.78 / $29.31 / $142.80	Facility		$15.78	$29.31	$142.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $14.13 / $28.56	Professional		$7.42	$14.13	$28.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.41 / $24.23 / $43.97	Facility		$10.41	$24.23	$43.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $19.64 / $30.19	Professional		$10.50	$19.64	$30.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $14.50 / $15.95	Professional		$10.70	$14.50	$15.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $15.78 / $33.18	Facility		$15.03	$15.78	$33.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $22.54 / $41.33	Facility		$15.03	$22.54	$41.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $13.53 / $13.53	Professional		$13.53	$13.53	$13.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $24.80 / $41.33	Facility		$17.28	$24.80	$41.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $15.03 / $40.42	Professional		$11.27	$15.03	$40.42
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $15.03	Professional		$6.31	$6.31	$15.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $7.79	Professional		$6.76	$6.76	$7.79