Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.31 / $28.04 / $87.89	Facility		$12.31	$28.04	$87.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $11.57 / $24.80	Professional		$9.48	$11.57	$24.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $8.36 / $8.36	Professional		$8.36	$8.36	$8.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12.93 / $24.62 / $132.82	Facility		$12.93	$24.62	$132.82
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $11.20 / $24.95	Professional		$5.95	$11.20	$24.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.34 / $25.20 / $75.70	Facility		$8.34	$25.20	$75.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $14.30 / $22.83	Professional		$8.44	$14.30	$22.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $12.31 / $12.31	Professional		$12.31	$12.31	$12.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.31 / $12.93 / $27.17	Facility		$12.31	$12.93	$27.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.31 / $18.47 / $33.85	Facility		$12.31	$18.47	$33.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $11.08 / $109.88	Professional		$11.08	$11.08	$109.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.16 / $20.20 / $33.85	Facility		$14.16	$20.20	$33.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $12.31 / $33.22	Professional		$9.23	$12.31	$33.22
United Facility/Professional Facility Modifier Low / Median / High Price $12.31 / $14.77 / $14.77	Facility		$12.31	$14.77	$14.77
United Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $7.77 / $13.79	Professional		$7.39	$7.77	$13.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $5.54 / $6.38	Professional		$5.54	$5.54	$6.38