Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.26 / $43.68 / $89.76	Facility		$11.26	$43.68	$89.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $10.70 / $20.76	Professional		$9.58	$10.70	$20.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $8.33 / $8.33	Professional		$7.19	$8.33	$8.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $24.48 / $80.00	Facility		$12.58	$24.48	$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 / $19.32 / $35.06	Facility		$8.30	$19.32	$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 Professional Modifier Low / Median / High Price $5.03 / $5.03 / $11.98	Professional		$5.03	$5.03	$11.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $5.39 / $6.21	Professional		$5.39	$5.39	$6.21