Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $69.38 / $239.06	Facility		$22.64	$69.38	$239.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $20.23 / $35.08	Professional		$15.33	$20.23	$35.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $15.06	Professional		$14.45	$14.45	$15.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $25.29 / $43.36 / $114.43	Facility		$25.29	$43.36	$114.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $20.82 / $45.77	Professional		$9.64	$20.82	$45.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $49.33 / $128.72	Facility		$12.50	$49.33	$128.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $27.67 / $36.04	Professional		$12.81	$27.67	$36.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.15 / $23.24 / $25.56	Professional		$17.15	$23.24	$25.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.09 / $25.29 / $53.18	Facility		$24.09	$25.29	$53.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.09 / $36.14 / $66.25	Facility		$24.09	$36.14	$66.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $21.68 / $21.68	Professional		$21.68	$21.68	$21.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.70 / $39.53 / $66.25	Facility		$27.70	$39.53	$66.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $24.09 / $64.67	Professional		$18.07	$24.09	$64.67
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.11 / $24.09	Professional		$10.11	$10.11	$24.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $10.84 / $12.48	Professional		$10.84	$10.84	$12.48