Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.20 / $68.06 / $159.76	Facility		$32.20	$68.06	$159.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.73 / $26.77 / $48.27	Professional		$25.73	$26.77	$48.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $20.51	Professional		$20.51	$20.51	$20.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $31.01 / $60.50 / $198.00	Facility		$31.01	$60.50	$198.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $26.87 / $50.95	Professional		$14.58	$26.87	$50.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.43 / $53.56 / $86.36	Facility		$20.43	$53.56	$86.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $38.85 / $58.92	Professional		$20.49	$38.85	$58.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $28.49 / $31.33	Professional		$21.02	$28.49	$31.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.53 / $31.01 / $65.19	Facility		$29.53	$31.01	$65.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.53 / $44.30 / $81.20	Facility		$29.53	$44.30	$81.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $26.58 / $26.58	Professional		$26.58	$26.58	$26.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.96 / $48.72 / $81.20	Facility		$33.96	$48.72	$81.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.15 / $29.53 / $79.94	Professional		$22.15	$29.53	$79.94
United Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $13.29 / $33.07	Professional		$12.40	$13.29	$33.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $15.30	Professional		$13.29	$13.29	$15.30