Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $51.02 / $140.78	Facility		$13.55	$51.02	$140.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $12.96 / $20.62	Professional		$9.36	$12.96	$20.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $8.65 / $10.01	Professional		$8.65	$8.65	$10.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.13 / $28.10 / $72.25	Facility		$15.13	$28.10	$72.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $12.97 / $24.85	Professional		$7.11	$12.97	$24.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.96 / $29.52 / $106.46	Facility		$9.96	$29.52	$106.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $19.20 / $28.73	Professional		$9.99	$19.20	$28.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $13.90 / $15.29	Professional		$10.25	$13.90	$15.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $15.13 / $31.81	Facility		$14.41	$15.13	$31.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $21.62 / $39.63	Facility		$14.41	$21.62	$39.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $12.97 / $12.97	Professional		$12.97	$12.97	$12.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $23.78 / $39.63	Facility		$16.57	$23.78	$39.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $14.41 / $38.61	Professional		$10.81	$14.41	$38.61
United Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $14.41	Professional		$6.05	$6.05	$14.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $6.48 / $7.46	Professional		$6.48	$6.48	$7.46