Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.26 / $47.50 / $153.94	Facility		$26.26	$47.50	$153.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $25.07 / $27.10	Professional		$22.35	$25.07	$27.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $16.76 / $16.76	Professional		$16.76	$16.76	$16.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $29.34 / $50.29 / $132.72	Facility		$29.34	$50.29	$132.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $26.26 / $48.20	Professional		$11.18	$26.26	$48.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.86 / $45.04 / $70.48	Facility		$14.86	$45.04	$70.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $31.80 / $39.75	Professional		$14.56	$31.80	$39.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $30.73 / $41.91	Facility		$27.94	$30.73	$41.91
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 $23.75 / $33.53 / $39.67	Professional		$23.75	$33.53	$39.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.13 / $45.85 / $76.84	Facility		$32.13	$45.85	$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