Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.26 / $31.72 / $131.40	Facility		$11.26	$31.72	$131.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $10.81 / $19.60	Professional		$9.94	$10.81	$19.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $7.19 / $7.19	Professional		$7.19	$7.19	$7.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $23.36 / $72.69	Facility		$12.58	$23.36	$72.69
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 / $21.74 / $35.06	Facility		$8.30	$21.74	$35.06
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 / $11.56 / $12.71	Professional		$8.52	$11.56	$12.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $12.58 / $26.45	Facility		$11.98	$12.58	$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 Facility Modifier Low / Median / High Price $11.98 / $14.38 / $14.38	Facility		$11.98	$14.38	$14.38
United Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $5.03 / $13.42	Professional		$5.03	$5.03	$13.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $5.39 / $6.21	Professional		$5.39	$5.39	$6.21