Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $57.75 / $151.33	Facility		$23.44	$57.75	$151.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.46 / $21.75 / $24.95	Professional		$18.46	$21.75	$24.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $14.97 / $17.32	Professional		$14.97	$14.97	$17.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $26.20 / $49.90 / $141.15	Facility		$26.20	$49.90	$141.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $22.70 / $47.41	Professional		$12.32	$22.70	$47.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $40.22 / $72.98	Facility		$17.27	$40.22	$72.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $33.04 / $49.67	Professional		$17.39	$33.04	$49.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $24.07 / $26.47	Professional		$17.76	$24.07	$26.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $26.20 / $64.58	Facility		$24.95	$26.20	$64.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.46 / $24.95 / $24.95	Facility		$22.46	$24.95	$24.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $22.46 / $22.46	Professional		$22.46	$22.46	$22.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.69 / $40.94 / $68.61	Facility		$28.69	$40.94	$68.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $24.95 / $67.36	Professional		$18.71	$24.95	$67.36
United Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $29.94 / $29.94	Facility		$24.95	$29.94	$29.94
United Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $10.48 / $24.95	Professional		$10.48	$10.48	$24.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $12.92 / $12.92	Professional		$12.92	$12.92	$12.92