Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.80 / $88.06 / $163.62	Facility		$27.80	$88.06	$163.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $25.04 / $27.80	Professional		$24.19	$25.04	$27.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $16.68 / $16.68	Professional		$16.68	$16.68	$16.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $29.19 / $54.21 / $133.26	Facility		$29.19	$54.21	$133.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $26.13 / $48.00	Professional		$13.73	$26.13	$48.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $56.92 / $82.58	Facility		$19.23	$56.92	$82.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $36.61 / $55.51	Professional		$19.28	$36.61	$55.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $26.82 / $29.50	Professional		$19.79	$26.82	$29.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.80 / $29.19 / $61.37	Facility		$27.80	$29.19	$61.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.80 / $41.70 / $76.45	Facility		$27.80	$41.70	$76.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $25.02 / $25.02	Professional		$25.02	$25.02	$25.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.97 / $45.87 / $76.45	Facility		$31.97	$45.87	$76.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $27.80 / $75.45	Professional		$20.85	$27.80	$75.45
United Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $13.78 / $31.14	Professional		$11.68	$13.78	$31.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $12.51 / $14.40	Professional		$12.51	$12.51	$14.40