Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.10 / $80.33 / $168.16	Facility		$21.10	$80.33	$168.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $19.39 / $32.90	Professional		$11.77	$19.39	$32.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $15.44 / $18.89	Professional		$13.34	$15.44	$18.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $23.34 / $44.46 / $106.14	Facility		$23.34	$44.46	$106.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $20.23 / $38.35	Professional		$10.98	$20.23	$38.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $44.12 / $65.03	Facility		$15.39	$44.12	$65.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $28.78 / $44.31	Professional		$15.49	$28.78	$44.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.82 / $21.45 / $23.59	Professional		$15.82	$21.45	$23.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.23 / $23.34 / $49.07	Facility		$22.23	$23.34	$49.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.23 / $33.35 / $61.13	Facility		$22.23	$33.35	$61.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.01 / $20.01 / $20.01	Professional		$20.01	$20.01	$20.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.56 / $36.68 / $61.13	Facility		$25.56	$36.68	$61.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $22.23 / $60.18	Professional		$16.67	$22.23	$60.18
United Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $11.12 / $24.90	Professional		$9.34	$11.12	$24.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $11.52	Professional		$10.00	$10.00	$11.52