Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.26 / $50.33 / $172.87	Facility		$11.26	$50.33	$172.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $10.87 / $21.58	Professional		$9.58	$10.87	$21.58
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 / $27.55 / $60.00	Facility		$12.58	$27.55	$60.00
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 / $78.94	Facility		$8.30	$24.54	$78.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $15.63 / $23.86	Professional		$8.26	$15.63	$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 $10.78 / $11.98 / $11.98	Facility		$10.78	$11.98	$11.98
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 $6.21 / $6.21 / $6.21	Professional		$6.21	$6.21	$6.21