Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $76.17 / $144.30	Facility		$20.26	$76.17	$144.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $16.64 / $37.15	Professional		$9.85	$16.64	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $12.91 / $34.36	Professional		$11.15	$12.91	$34.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.51 / $51.10 / $100.00	Facility		$19.51	$51.10	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $16.72 / $32.04	Professional		$9.18	$16.72	$32.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.87 / $34.40 / $54.36	Facility		$12.87	$34.40	$54.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $24.22 / $37.01	Professional		$12.91	$24.22	$37.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $17.92 / $19.71	Professional		$13.23	$17.92	$19.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $19.51 / $41.02	Facility		$18.57	$19.51	$41.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.72 / $18.57 / $18.57	Facility		$16.72	$18.57	$18.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $16.72 / $16.72	Professional		$16.72	$16.72	$16.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.37 / $30.60 / $51.10	Facility		$21.37	$30.60	$51.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $18.57 / $50.30	Professional		$13.94	$18.57	$50.30
United Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $7.80 / $18.57	Professional		$7.80	$7.80	$18.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $9.61 / $9.61	Professional		$9.61	$9.61	$9.61