Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $28.64 / $172.40	Facility		$16.89	$28.64	$172.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $10.70 / $11.26	Professional		$7.79	$10.70	$11.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $8.33 / $8.33	Professional		$8.33	$8.33	$8.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $27.55 / $80.00	Facility		$12.58	$27.55	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $10.70 / $20.70	Professional		$5.92	$10.70	$20.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.30 / $24.54 / $88.65	Facility		$8.30	$24.54	$88.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $15.44 / $23.86	Professional		$8.26	$15.44	$23.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $9.24 / $11.98	Professional		$8.52	$9.24	$11.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $13.18 / $26.45	Facility		$11.98	$13.18	$26.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $17.97 / $32.95	Facility		$11.98	$17.97	$32.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $10.78 / $10.78	Professional		$10.78	$10.78	$10.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.78 / $19.77 / $32.95	Facility		$13.78	$19.77	$32.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $11.98 / $32.34	Professional		$8.99	$11.98	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $5.99 / $11.98	Professional		$5.03	$5.99	$11.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $5.39 / $6.21	Professional		$5.39	$5.39	$6.21