Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.18 / $71.83 / $395.95	Facility		$10.18	$71.83	$395.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $9.36 / $18.39	Professional		$8.57	$9.36	$18.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $6.19 / $7.17	Professional		$6.19	$6.19	$7.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10.84 / $20.12 / $112.35	Facility		$10.84	$20.12	$112.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $9.28 / $17.80	Professional		$5.09	$9.28	$17.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.16 / $21.14 / $57.88	Facility		$7.16	$21.14	$57.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $13.34 / $20.45	Professional		$7.23	$13.34	$20.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $9.96 / $10.95	Professional		$7.34	$9.96	$10.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.32 / $10.84 / $22.78	Facility		$10.32	$10.84	$22.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.32 / $15.48 / $28.38	Facility		$10.32	$15.48	$28.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $9.28 / $9.28	Professional		$9.28	$9.28	$9.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11.87 / $17.03 / $28.38	Facility		$11.87	$17.03	$28.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $10.32 / $27.84	Professional		$7.74	$10.32	$27.84
United Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $4.33 / $10.50	Professional		$4.33	$4.33	$10.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $4.63 / $5.35	Professional		$4.63	$4.63	$5.35