Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $59.74 / $154.93	Facility		$17.00	$59.74	$154.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $15.30 / $26.88	Professional		$12.54	$15.30	$26.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $11.71 / $30.46	Professional		$10.75	$11.71	$30.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $34.76 / $110.92	Facility		$18.82	$34.76	$110.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $16.13 / $34.04	Professional		$8.33	$16.13	$34.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.68 / $28.89 / $52.43	Facility		$11.68	$28.89	$52.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $21.76 / $33.60	Professional		$11.71	$21.76	$33.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $17.29 / $19.01	Professional		$12.76	$17.29	$19.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.92 / $18.82 / $39.56	Facility		$17.92	$18.82	$39.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.92 / $26.88 / $49.28	Facility		$17.92	$26.88	$49.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $16.13 / $16.13	Professional		$16.13	$16.13	$16.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $29.41 / $49.28	Facility		$20.61	$29.41	$49.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $17.92 / $48.50	Professional		$13.44	$17.92	$48.50
United Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $7.53 / $20.07	Professional		$7.53	$7.53	$20.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $8.06 / $9.27	Professional		$8.06	$8.06	$9.27