Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $55.73 / $130.81	Facility		$22.73	$55.73	$130.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $21.77 / $24.18	Professional		$15.72	$21.77	$24.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $16.79 / $16.79	Professional		$14.51	$16.79	$16.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $25.39 / $48.36 / $115.59	Facility		$25.39	$48.36	$115.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $21.76 / $41.75	Professional		$11.94	$21.76	$41.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $44.94 / $70.73	Facility		$16.75	$44.94	$70.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $31.71 / $48.21	Professional		$16.87	$31.71	$48.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $23.33 / $25.66	Professional		$17.21	$23.33	$25.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.18 / $25.39 / $53.38	Facility		$24.18	$25.39	$53.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.18 / $36.27 / $66.50	Facility		$24.18	$36.27	$66.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $21.76 / $21.76	Professional		$21.76	$21.76	$21.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.81 / $39.90 / $66.50	Facility		$27.81	$39.90	$66.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $24.18 / $65.56	Professional		$18.14	$24.18	$65.56
United Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $10.16 / $27.08	Professional		$10.16	$10.16	$27.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $10.88 / $12.53	Professional		$10.88	$10.88	$12.53