Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.37 / $100.11 / $190.62	Facility		$29.37	$100.11	$190.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $25.81 / $55.28	Professional		$15.68	$25.81	$55.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $20.56 / $50.32	Professional		$17.76	$20.56	$50.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $57.72 / $141.54	Facility		$31.08	$57.72	$141.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $26.64 / $56.24	Professional		$16.78	$26.64	$56.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.49 / $60.61 / $86.58	Facility		$20.49	$60.61	$86.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $38.85 / $58.92	Professional		$20.66	$38.85	$58.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $28.56 / $31.41	Professional		$21.07	$28.56	$31.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $31.08 / $73.80	Facility		$29.60	$31.08	$73.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $44.40 / $81.40	Facility		$29.60	$44.40	$81.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $26.64 / $26.64	Professional		$26.64	$26.64	$26.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $48.84 / $81.40	Facility		$34.04	$48.84	$81.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $29.60 / $79.94	Professional		$22.20	$29.60	$79.94
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $12.43 / $35.52	Professional		$12.43	$12.43	$35.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.32 / $13.32 / $15.33	Professional		$13.32	$13.32	$15.33