Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $66.17 / $159.93	Facility		$16.71	$66.17	$159.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $15.12 / $30.08	Professional		$14.18	$15.12	$30.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $10.02 / $11.61	Professional		$10.02	$10.02	$11.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $32.58 / $97.56	Facility		$17.55	$32.58	$97.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $15.21 / $28.85	Professional		$8.25	$15.21	$28.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.56 / $34.21 / $48.87	Facility		$11.56	$34.21	$48.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $21.88 / $33.60	Professional		$11.71	$21.88	$33.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $16.12 / $17.73	Professional		$11.89	$16.12	$17.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $17.55 / $36.89	Facility		$16.71	$17.55	$36.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $25.07 / $45.95	Facility		$16.71	$25.07	$45.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $15.04	Professional		$15.04	$15.04	$15.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.22 / $27.57 / $45.95	Facility		$19.22	$27.57	$45.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $16.71 / $44.91	Professional		$12.53	$16.71	$44.91
United Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $7.52 / $16.71	Professional		$7.02	$7.52	$16.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $7.52 / $8.66	Professional		$7.52	$7.52	$8.66