Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.11 / $63.85 / $252.53	Facility		$16.11	$63.85	$252.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $16.11 / $18.64	Professional		$9.60	$16.11	$18.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.71 / $31.71 / $31.71	Professional		$31.71	$31.71	$31.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $30.00 / $81.42	Facility		$18.00	$30.00	$81.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $17.14 / $29.85	Professional		$7.18	$17.14	$29.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.85 / $26.37 / $46.68	Facility		$9.85	$26.37	$46.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $19.82 / $27.79	Professional		$9.64	$19.82	$27.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $20.30 / $50.75	Professional		$13.22	$20.30	$50.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $17.14 / $37.84	Facility		$17.14	$17.14	$37.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $25.71 / $47.14	Facility		$17.14	$25.71	$47.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $18.00 / $24.34	Professional		$15.43	$18.00	$24.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.71 / $28.13 / $47.14	Facility		$19.71	$28.13	$47.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $17.14 / $45.81	Professional		$12.86	$17.14	$45.81
United Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $7.20 / $17.14	Professional		$7.20	$7.20	$17.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $7.71 / $8.88	Professional		$7.71	$7.71	$8.88