Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.74 / $53.33 / $148.87	Facility		$23.74	$53.33	$148.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.54 / $22.45 / $29.48	Professional		$19.54	$22.45	$29.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $17.54 / $17.54	Professional		$15.15	$17.54	$17.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $44.19 / $120.30	Facility		$26.51	$44.19	$120.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $22.98 / $43.55	Professional		$12.47	$22.98	$43.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $40.70 / $73.84	Facility		$17.48	$40.70	$73.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $32.64 / $50.64	Professional		$17.55	$32.64	$50.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $24.36 / $26.79	Professional		$17.97	$24.36	$26.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $26.51 / $58.43	Facility		$25.25	$26.51	$58.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $37.88 / $69.44	Facility		$25.25	$37.88	$69.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $22.73 / $22.73	Professional		$22.73	$22.73	$22.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $41.44 / $69.44	Facility		$29.04	$41.44	$69.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $25.25 / $68.26	Professional		$18.94	$25.25	$68.26
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $10.61 / $28.28	Professional		$10.61	$10.61	$28.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $13.08	Professional		$11.36	$11.36	$13.08