Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.53 / $53.50 / $108.44	Facility		$15.53	$53.50	$108.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $14.05 / $33.18	Professional		$10.46	$14.05	$33.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $10.33 / $14.05	Professional		$10.33	$10.33	$14.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.36 / $33.06 / $78.52	Facility		$17.36	$33.06	$78.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $12.69 / $31.41	Professional		$6.61	$12.69	$31.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.30 / $33.83 / $42.96	Facility		$8.30	$33.83	$42.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $19.00 / $23.86	Professional		$8.65	$19.00	$23.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $15.95 / $17.54	Professional		$11.76	$15.95	$17.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.53 / $17.36 / $36.49	Facility		$16.53	$17.36	$36.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $16.53 / $16.53	Facility		$14.88	$16.53	$16.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $14.88 / $14.88	Professional		$14.88	$14.88	$14.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.01 / $27.13 / $45.46	Facility		$19.01	$27.13	$45.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $16.53 / $44.91	Professional		$12.40	$16.53	$44.91
United Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $9.92 / $16.80	Professional		$9.82	$9.92	$16.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $8.56 / $8.56	Professional		$8.56	$8.56	$8.56