Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.59 / $53.13 / $133.19	Facility		$21.59	$53.13	$133.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $17.32 / $22.97	Professional		$11.94	$17.32	$22.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $13.78 / $14.36	Professional		$13.78	$13.78	$14.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $24.12 / $37.69 / $109.11	Facility		$24.12	$37.69	$109.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $20.67 / $34.46	Professional		$9.19	$20.67	$34.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $37.03 / $57.95	Facility		$12.22	$37.03	$57.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.67 / $26.43 / $33.04	Professional		$23.67	$26.43	$33.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $22.16 / $24.37	Professional		$16.35	$22.16	$24.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $25.27 / $34.46	Facility		$22.97	$25.27	$34.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $34.46 / $63.17	Facility		$22.97	$34.46	$63.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $24.12 / $32.61	Professional		$19.52	$24.12	$32.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.42 / $37.69 / $63.17	Facility		$26.42	$37.69	$63.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $22.97 / $61.98	Professional		$17.23	$22.97	$61.98
United Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $9.65 / $22.97	Professional		$9.65	$9.65	$22.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $10.34 / $11.90	Professional		$10.34	$10.34	$11.90