Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.93 / $54.80 / $133.59	Facility		$14.93	$54.80	$133.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $12.45 / $18.77	Professional		$8.55	$12.45	$18.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $9.91 / $26.40	Professional		$3.57	$9.91	$26.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.98 / $28.54 / $74.00	Facility		$14.98	$28.54	$74.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $12.84 / $24.65	Professional		$7.04	$12.84	$24.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.88 / $29.23 / $41.76	Facility		$9.88	$29.23	$41.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $16.54 / $28.73	Professional		$9.99	$16.54	$28.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $13.77 / $15.14	Professional		$10.16	$13.77	$15.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.27 / $14.98 / $31.50	Facility		$14.27	$14.98	$31.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.84 / $14.27 / $14.27	Facility		$12.84	$14.27	$14.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $12.84 / $12.84	Professional		$12.84	$12.84	$12.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.41 / $23.55 / $39.24	Facility		$16.41	$23.55	$39.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $14.27 / $38.61	Professional		$10.70	$14.27	$38.61
United Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $6.42 / $14.27	Professional		$5.99	$6.42	$14.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $7.39 / $7.39	Professional		$7.39	$7.39	$7.39