Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.78 / $87.11 / $187.20	Facility		$26.78	$87.11	$187.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $25.07 / $49.28	Professional		$18.16	$25.07	$49.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $19.39 / $47.50	Professional		$16.76	$19.39	$47.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $29.34 / $55.88 / $133.26	Facility		$29.34	$55.88	$133.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $25.43 / $48.20	Professional		$13.80	$25.43	$48.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.34 / $57.20 / $81.72	Facility		$19.34	$57.20	$81.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $36.61 / $56.00	Professional		$19.45	$36.61	$56.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $26.95 / $29.64	Professional		$19.89	$26.95	$29.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $29.34 / $61.68	Facility		$27.94	$29.34	$61.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $41.91 / $76.84	Facility		$27.94	$41.91	$76.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $25.15 / $25.15	Professional		$25.15	$25.15	$25.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.13 / $46.10 / $76.84	Facility		$32.13	$46.10	$76.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.96 / $27.94 / $75.45	Professional		$20.96	$27.94	$75.45
United Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $11.73 / $27.94	Professional		$11.73	$11.73	$27.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $12.57 / $14.47	Professional		$12.57	$12.57	$14.47