Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.29 / $32.50 / $120.60	Facility		$19.29	$32.50	$120.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $20.64 / $78.31	Professional		$18.68	$20.64	$78.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.41 / $13.18 / $14.65	Professional		$6.41	$13.18	$14.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $23.06 / $43.92 / $122.00	Facility		$23.06	$43.92	$122.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $19.76 / $37.90	Professional		$10.85	$19.76	$37.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.19 / $35.39 / $64.22	Facility		$15.19	$35.39	$64.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $25.19 / $43.83	Professional		$15.32	$25.19	$43.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.63 / $21.18 / $23.29	Professional		$15.63	$21.18	$23.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.96 / $23.06 / $53.30	Facility		$21.96	$23.06	$53.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.19 / $32.94 / $60.39	Facility		$21.19	$32.94	$60.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $19.76 / $19.76	Professional		$19.76	$19.76	$19.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.06 / $36.04 / $60.39	Facility		$23.06	$36.04	$60.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.47 / $21.96 / $59.28	Professional		$16.47	$21.96	$59.28
United Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $9.22 / $21.96	Professional		$9.22	$9.22	$21.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $9.88 / $11.38	Professional		$9.88	$9.88	$11.38