Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.44 / $46.74 / $113.01	Facility		$19.44	$46.74	$113.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $18.39 / $26.68	Professional		$15.69	$18.39	$26.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $14.08 / $15.54	Professional		$12.17	$14.08	$15.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.29 / $46.64 / $100.00	Facility		$21.29	$46.64	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $18.25 / $35.00	Professional		$10.02	$18.25	$35.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.04 / $32.69 / $59.31	Facility		$14.04	$32.69	$59.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $26.79 / $40.42	Professional		$14.12	$26.79	$40.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $19.55 / $21.51	Professional		$14.44	$19.55	$21.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.28 / $21.29 / $45.10	Facility		$20.28	$21.29	$45.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.28 / $30.42 / $55.77	Facility		$20.28	$30.42	$55.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $18.25 / $18.25	Professional		$18.25	$18.25	$18.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.32 / $33.46 / $55.77	Facility		$23.32	$33.46	$55.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $20.28 / $54.79	Professional		$15.21	$20.28	$54.79
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $8.52 / $20.28	Professional		$8.52	$8.52	$20.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $9.13 / $10.51	Professional		$9.13	$9.13	$10.51