Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $42.24 / $129.49	Facility		$18.55	$42.24	$129.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $17.91 / $32.28	Professional		$16.79	$17.91	$32.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $13.71 / $13.71	Professional		$13.71	$13.71	$13.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20.73 / $45.40 / $100.00	Facility		$20.73	$45.40	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $17.77 / $34.04	Professional		$9.75	$17.77	$34.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.66 / $40.40 / $57.74	Facility		$13.66	$40.40	$57.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $25.90 / $39.44	Professional		$13.77	$25.90	$39.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $19.04 / $20.94	Professional		$14.05	$19.04	$20.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $20.73 / $43.58	Facility		$19.73	$20.73	$43.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $29.61 / $54.29	Facility		$19.73	$29.61	$54.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $17.77 / $17.77	Professional		$17.77	$17.77	$17.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.70 / $32.57 / $54.29	Facility		$22.70	$32.57	$54.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $19.73 / $52.99	Professional		$14.81	$19.73	$52.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $8.28 / $23.69	Professional		$8.28	$8.28	$23.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $8.88 / $10.23	Professional		$8.88	$8.88	$10.23