Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $96.54 / $245.98	Facility		$32.40	$96.54	$245.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $15.26 / $22.98	Professional		$13.05	$15.26	$22.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $13.79 / $13.79	Professional		$13.79	$13.79	$13.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $24.13 / $45.96 / $243.00	Facility		$24.13	$45.96	$243.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $19.45 / $43.66	Professional		$9.19	$19.45	$43.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.68 / $47.06 / $69.63	Facility		$11.68	$47.06	$69.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $26.43 / $33.60	Professional		$12.12	$26.43	$33.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.36 / $22.17 / $24.38	Professional		$16.36	$22.17	$24.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.98 / $24.13 / $54.33	Facility		$22.98	$24.13	$54.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.98 / $34.47 / $63.20	Facility		$22.98	$34.47	$63.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $20.68 / $20.68	Professional		$20.68	$20.68	$20.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.43 / $37.71 / $63.20	Facility		$26.43	$37.71	$63.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $22.98 / $61.98	Professional		$17.23	$22.98	$61.98
United Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $9.65 / $22.98	Professional		$9.65	$9.65	$22.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $10.34 / $11.90	Professional		$10.34	$10.34	$11.90