Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $66.70 / $194.88	Facility		$29.28	$66.70	$194.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $26.49 / $33.67	Professional		$24.84	$26.49	$33.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $20.32 / $20.32	Professional		$17.57	$20.32	$20.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $30.74 / $58.56 / $140.34	Facility		$30.74	$58.56	$140.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $26.64 / $50.50	Professional		$14.46	$26.64	$50.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.25 / $47.19 / $85.64	Facility		$20.25	$47.19	$85.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $37.90 / $58.44	Professional		$20.30	$37.90	$58.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $28.25 / $31.07	Professional		$20.84	$28.25	$31.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $32.21 / $61.49	Facility		$29.28	$32.21	$61.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $43.92 / $80.52	Facility		$29.28	$43.92	$80.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $26.35 / $26.35	Professional		$26.35	$26.35	$26.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $48.31 / $80.52	Facility		$33.67	$48.31	$80.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $29.28 / $79.04	Professional		$21.96	$29.28	$79.04
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.18 / $32.79	Professional		$12.30	$13.18	$32.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $15.17	Professional		$13.18	$13.18	$15.17