Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $73.97 / $165.82	Facility		$18.54	$73.97	$165.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $16.93 / $21.61	Professional		$14.55	$16.93	$21.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $13.05 / $13.05	Professional		$11.27	$13.05	$13.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $38.36 / $122.00	Facility		$19.73	$38.36	$122.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $17.10 / $32.45	Professional		$9.27	$17.10	$32.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $38.46 / $54.95	Facility		$12.99	$38.46	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $24.22 / $37.50	Professional		$13.08	$24.22	$37.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $18.13 / $19.94	Professional		$13.37	$18.13	$19.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.79 / $19.73 / $43.05	Facility		$18.79	$19.73	$43.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.79 / $28.19 / $51.67	Facility		$18.79	$28.19	$51.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $16.91 / $16.91	Professional		$16.91	$16.91	$16.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.61 / $31.00 / $51.67	Facility		$21.61	$31.00	$51.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $18.79 / $50.30	Professional		$14.09	$18.79	$50.30
United Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $8.46 / $18.79	Professional		$7.89	$8.46	$18.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $8.46 / $9.73	Professional		$8.46	$8.46	$9.73