Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $40.11 / $123.10	Facility		$16.73	$40.11	$123.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $11.68 / $23.20	Professional		$10.30	$11.68	$23.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $7.73 / $7.73	Professional		$7.73	$7.73	$7.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $25.76 / $175.95	Facility		$13.52	$25.76	$175.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $11.72 / $24.00	Professional		$6.36	$11.72	$24.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $26.37 / $66.79	Facility		$8.91	$26.37	$66.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $16.97 / $25.81	Professional		$8.94	$16.97	$25.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $12.43 / $13.67	Professional		$9.16	$12.43	$13.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $13.52 / $28.43	Facility		$12.88	$13.52	$28.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $19.32 / $35.42	Facility		$12.88	$19.32	$35.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $11.59 / $11.59	Professional		$11.59	$11.59	$11.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $21.25 / $35.42	Facility		$14.81	$21.25	$35.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $12.88 / $35.03	Professional		$9.66	$12.88	$35.03
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $5.41 / $12.88	Professional		$5.41	$5.41	$12.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $5.80 / $6.67	Professional		$5.80	$5.80	$6.67