Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.08 / $60.33 / $103.40	Facility		$24.08	$60.33	$103.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $13.38 / $22.23	Professional		$10.52	$13.38	$22.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $11.11 / $11.58	Professional		$11.11	$11.11	$11.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.45 / $34.40 / $87.97	Facility		$19.45	$34.40	$87.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $15.67 / $29.00	Professional		$7.41	$15.67	$29.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.42 / $33.20 / $48.16	Facility		$9.42	$33.20	$48.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $21.06 / $27.27	Professional		$9.86	$21.06	$27.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $17.87 / $19.65	Professional		$13.18	$17.87	$19.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.52 / $18.52 / $40.88	Facility		$18.52	$18.52	$40.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.52 / $27.78 / $50.93	Facility		$18.52	$27.78	$50.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $19.45 / $26.30	Professional		$15.74	$19.45	$26.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.30 / $30.39 / $50.93	Facility		$21.30	$30.39	$50.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $18.52 / $50.30	Professional		$13.89	$18.52	$50.30
United Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $7.78 / $18.52	Professional		$7.78	$7.78	$18.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $8.33 / $9.59	Professional		$8.33	$8.33	$9.59