Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.45 / $38.11 / $167.24	Facility		$16.45	$38.11	$167.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $15.67 / $75.55	Professional		$10.84	$15.67	$75.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $11.58 / $11.58	Professional		$11.58	$11.58	$11.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.50 / $32.51 / $138.18	Facility		$17.50	$32.51	$138.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $15.17 / $28.75	Professional		$8.23	$15.17	$28.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.31 / $26.88 / $48.78	Facility		$9.31	$26.88	$48.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $21.41 / $33.11	Professional		$11.53	$21.41	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $16.07 / $17.68	Professional		$11.87	$16.07	$17.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.67 / $17.50 / $36.79	Facility		$16.67	$17.50	$36.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.67 / $25.01 / $45.84	Facility		$16.67	$25.01	$45.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.17 / $27.51 / $45.84	Facility		$19.17	$27.51	$45.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $16.67 / $44.91	Professional		$12.50	$16.67	$44.91
United Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $16.67	Professional		$7.00	$7.00	$16.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $7.50 / $8.64	Professional		$7.50	$7.50	$8.64