Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.52 / $66.70 / $178.42	Facility		$27.52	$66.70	$178.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $25.51 / $27.52	Professional		$17.23	$25.51	$27.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $17.57 / $17.57	Professional		$17.57	$17.57	$17.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $30.74 / $51.24 / $139.08	Facility		$30.74	$51.24	$139.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $26.67 / $50.50	Professional		$13.01	$26.67	$50.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $32.54 / $73.86	Facility		$17.64	$32.54	$73.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $33.86 / $44.66	Professional		$15.49	$33.86	$44.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $29.28 / $43.92	Facility		$29.28	$29.28	$43.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $43.92 / $80.52	Facility		$29.28	$43.92	$80.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $30.74 / $41.58	Professional		$26.35	$30.74	$41.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $48.05 / $80.52	Facility		$33.67	$48.05	$80.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $29.28 / $79.04	Professional		$21.96	$29.28	$79.04
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $29.28	Professional		$12.30	$12.30	$29.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $15.17	Professional		$13.18	$13.18	$15.17