Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.41 / $61.79 / $114.10	Facility		$20.41	$61.79	$114.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $15.35 / $33.74	Professional		$11.99	$15.35	$33.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $12.65 / $13.18	Professional		$12.65	$12.65	$13.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $22.14 / $39.22 / $100.18	Facility		$22.14	$39.22	$100.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $16.25 / $33.97	Professional		$8.44	$16.25	$33.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $43.19 / $54.84	Facility		$10.75	$43.19	$54.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $24.37 / $31.17	Professional		$11.08	$24.37	$31.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $20.35 / $22.38	Professional		$15.01	$20.35	$22.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.09 / $22.14 / $46.56	Facility		$21.09	$22.14	$46.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.09 / $31.63 / $58.00	Facility		$21.09	$31.63	$58.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $18.98 / $18.98	Professional		$18.98	$18.98	$18.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.25 / $34.61 / $58.00	Facility		$24.25	$34.61	$58.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.82 / $21.09 / $56.59	Professional		$15.82	$21.09	$56.59
United Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $8.86 / $21.09	Professional		$8.86	$8.86	$21.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $9.49 / $10.92	Professional		$9.49	$9.49	$10.92