Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.25 / $57.12 / $113.60	Facility		$15.25	$57.12	$113.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $14.21 / $20.00	Professional		$8.43	$14.21	$20.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.04 / $12.19	Professional		$9.55	$11.04	$12.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $32.47 / $100.00	Facility		$16.71	$32.47	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $14.48 / $27.45	Professional		$7.86	$14.48	$27.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.99 / $32.57 / $46.53	Facility		$10.99	$32.57	$46.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $20.99 / $31.65	Professional		$11.02	$20.99	$31.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $15.35 / $16.88	Professional		$11.32	$15.35	$16.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.91 / $16.71 / $35.11	Facility		$15.91	$16.71	$35.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.91 / $23.87 / $43.75	Facility		$15.91	$23.87	$43.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $14.32 / $14.32	Professional		$14.32	$14.32	$14.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $26.25 / $43.75	Facility		$18.30	$26.25	$43.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $15.91 / $43.11	Professional		$11.93	$15.91	$43.11
United Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $7.96 / $15.91	Professional		$6.68	$7.96	$15.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $7.16 / $8.24	Professional		$7.16	$7.16	$8.24