Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.33 / $34.70 / $68.01	Facility		$11.33	$34.70	$68.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.08 / $17.82	Professional		$9.33	$11.08	$17.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $8.36 / $10.24	Professional		$7.23	$8.36	$10.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $33.14 / $79.81	Facility		$12.65	$33.14	$79.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $11.33 / $21.47	Professional		$5.95	$11.33	$21.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.34 / $24.66 / $35.24	Facility		$8.34	$24.66	$35.24
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 $12.05 / $12.05 / $12.05	Professional		$12.05	$12.05	$12.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $12.65 / $26.60	Facility		$12.05	$12.65	$26.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.85 / $12.05 / $12.05	Facility		$10.85	$12.05	$12.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $10.85 / $16.84	Professional		$10.85	$10.85	$16.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.86 / $19.88 / $33.14	Facility		$13.86	$19.88	$33.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $12.05 / $32.34	Professional		$9.03	$12.05	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $14.46 / $14.46	Facility		$12.05	$14.46	$14.46
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $13.50	Professional		$5.05	$5.05	$13.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $6.24 / $6.24	Professional		$6.24	$6.24	$6.24