Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.22 / $30.74 / $174.92	Facility		$4.22	$30.74	$174.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $2.71 / $5.08	Professional		$2.39	$2.71	$5.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $2.08 / $5.08	Professional		$1.79	$2.08	$5.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $90.00 / $136.77	Facility		$4.01	$90.00	$136.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $2.69 / $5.96	Professional		$1.48	$2.69	$5.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $6.11 / $25.91	Facility		$2.06	$6.11	$25.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $3.86 / $7.67	Professional		$2.06	$3.86	$7.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.88 / $3.16	Professional		$2.12	$2.88	$3.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.99 / $3.14 / $11.28	Facility		$2.99	$3.14	$11.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $2.99 / $7.55	Facility		$2.69	$2.99	$7.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $2.69	Professional		$2.69	$2.69	$2.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $65.65 / $111.13 / $216.12	Facility		$65.65	$111.13	$216.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.99 / $8.08	Professional		$2.24	$2.99	$8.08
United Facility/Professional Facility Modifier Low / Median / High Price $110.58 / $138.83 / $224.55	Facility		$110.58	$138.83	$224.55
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $2.99	Professional		$1.26	$1.26	$2.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $1.55	Professional		$1.35	$1.35	$1.55