Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.20 / $76.04 / $147.61	Facility		$29.20	$76.04	$147.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $24.23 / $43.77	Professional		$17.41	$24.23	$43.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $18.61	Professional		$16.07	$16.07	$18.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $28.13 / $52.24 / $128.00	Facility		$28.13	$52.24	$128.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $24.38 / $46.20	Professional		$13.23	$24.38	$46.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $43.18 / $78.34	Facility		$18.54	$43.18	$78.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $35.28 / $53.57	Professional		$18.59	$35.28	$53.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $25.84 / $28.42	Professional		$19.07	$25.84	$28.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.79 / $29.47 / $59.14	Facility		$26.79	$29.47	$59.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.79 / $40.19 / $73.67	Facility		$26.79	$40.19	$73.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $24.11 / $24.11	Professional		$24.11	$24.11	$24.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.81 / $44.20 / $73.67	Facility		$30.81	$44.20	$73.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $26.79 / $71.86	Professional		$20.09	$26.79	$71.86
United Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $11.25 / $26.79	Professional		$11.25	$11.25	$26.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $12.06 / $13.88	Professional		$12.06	$12.06	$13.88