Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $78.69 / $171.70	Facility		$25.07	$78.69	$171.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $22.47 / $23.75	Professional		$20.92	$22.47	$23.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $15.16 / $17.55	Professional		$15.16	$15.16	$17.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $26.53 / $50.54 / $120.82	Facility		$26.53	$50.54	$120.82
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $23.00 / $43.60	Professional		$12.48	$23.00	$43.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.51 / $40.75 / $73.94	Facility		$17.51	$40.75	$73.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $32.64 / $50.64	Professional		$17.55	$32.64	$50.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.99 / $24.38 / $26.81	Professional		$17.99	$24.38	$26.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $27.80 / $56.38	Facility		$25.27	$27.80	$56.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $37.90 / $69.48	Facility		$25.27	$37.90	$69.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $22.74 / $22.74	Professional		$22.74	$22.74	$22.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.06 / $41.70 / $69.48	Facility		$29.06	$41.70	$69.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $25.27 / $68.26	Professional		$18.95	$25.27	$68.26
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $10.61 / $25.27	Professional		$10.61	$10.61	$25.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $11.37 / $13.09	Professional		$11.37	$11.37	$13.09