Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $31.72 / $106.48	Facility		$12.99	$31.72	$106.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $10.87 / $20.92	Professional		$8.52	$10.87	$20.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $8.64 / $8.64	Professional		$8.28	$8.64	$8.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $26.81 / $65.65	Facility		$14.51	$26.81	$65.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $10.70 / $22.65	Professional		$5.92	$10.70	$22.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.30 / $21.74 / $38.47	Facility		$8.30	$21.74	$38.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $17.16 / $23.86	Professional		$8.26	$17.16	$23.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $13.33 / $14.66	Professional		$9.84	$13.33	$14.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.82 / $14.51 / $30.51	Facility		$13.82	$14.51	$30.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.82 / $20.73 / $38.01	Facility		$13.82	$20.73	$38.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.44 / $12.44 / $12.44	Professional		$12.44	$12.44	$12.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $22.68 / $38.01	Facility		$15.89	$22.68	$38.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $13.82 / $37.72	Professional		$10.37	$13.82	$37.72
United Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $5.95 / $13.82	Professional		$5.80	$5.95	$13.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $6.22 / $7.16	Professional		$6.22	$6.22	$7.16