Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $68.59 / $159.34	Facility		$18.39	$68.59	$159.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.16 / $28.44	Professional		$14.79	$17.16	$28.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $13.17 / $16.12	Professional		$11.38	$13.17	$16.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $37.92 / $95.40	Facility		$19.91	$37.92	$95.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $17.25 / $32.75	Professional		$9.36	$17.25	$32.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $38.81 / $55.44	Facility		$13.13	$38.81	$55.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $25.01 / $37.97	Professional		$13.26	$25.01	$37.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.29 / $20.11	Professional		$13.49	$18.29	$20.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $20.86 / $41.85	Facility		$18.96	$20.86	$41.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $28.44 / $52.14	Facility		$18.96	$28.44	$52.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Professional		$17.05	$17.05	$17.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.80 / $31.28 / $52.14	Facility		$21.80	$31.28	$52.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $18.96 / $51.20	Professional		$14.22	$18.96	$51.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $7.96 / $18.96	Professional		$7.96	$7.96	$18.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $8.52 / $9.82	Professional		$8.52	$8.52	$9.82