Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.47 / $27.49 / $83.26	Facility		$14.47	$27.49	$83.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $13.96 / $27.44	Professional		$11.38	$13.96	$27.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $10.69 / $10.69	Professional		$10.69	$10.69	$10.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $27.70 / $111.86	Facility		$16.16	$27.70	$111.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $13.85 / $26.55	Professional		$7.60	$13.85	$26.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.66 / $27.91 / $45.00	Facility		$10.66	$27.91	$45.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $20.01 / $30.68	Professional		$10.67	$20.01	$30.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.85 / $16.33	Professional		$10.96	$14.85	$16.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $16.93 / $33.97	Facility		$15.39	$16.93	$33.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $23.09 / $42.32	Facility		$15.39	$23.09	$42.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $13.85 / $13.85	Professional		$13.85	$13.85	$13.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $25.25 / $42.32	Facility		$17.70	$25.25	$42.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $15.39 / $41.32	Professional		$11.54	$15.39	$41.32
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $15.39	Professional		$6.46	$6.46	$15.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $6.93 / $7.97	Professional		$6.93	$6.93	$7.97