Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.66 / $47.63 / $130.26	Facility		$22.66	$47.63	$130.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $20.83 / $26.76	Professional		$12.53	$20.83	$26.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $17.73	Professional		$16.07	$16.07	$17.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $24.82 / $47.24 / $112.29	Facility		$24.82	$47.24	$112.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $21.28 / $39.95	Professional		$11.43	$21.28	$39.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.02 / $38.11 / $69.17	Facility		$16.02	$38.11	$69.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $29.84 / $46.26	Professional		$16.01	$29.84	$46.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.83 / $22.81 / $25.09	Professional		$16.83	$22.81	$25.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.64 / $26.00 / $52.19	Facility		$23.64	$26.00	$52.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.64 / $35.46 / $65.01	Facility		$23.64	$35.46	$65.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $21.28 / $21.28	Professional		$21.28	$21.28	$21.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.19 / $38.79 / $65.01	Facility		$27.19	$38.79	$65.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $23.64 / $63.77	Professional		$17.73	$23.64	$63.77
United Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $9.93 / $26.48	Professional		$9.93	$9.93	$26.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $10.64 / $12.25	Professional		$10.64	$10.64	$12.25