Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.52 / $55.93 / $117.99	Facility		$18.52	$55.93	$117.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $18.52 / $29.16	Professional		$12.81	$18.52	$29.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $11.82 / $11.82	Professional		$11.82	$11.82	$11.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20.69 / $38.42 / $93.58	Facility		$20.69	$38.42	$93.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $17.73 / $32.72	Professional		$9.69	$17.73	$32.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $40.35 / $63.15	Facility		$13.58	$40.35	$63.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $25.27 / $38.96	Professional		$13.60	$25.27	$38.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.02 / $19.00 / $20.90	Professional		$14.02	$19.00	$20.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.70 / $20.50 / $43.49	Facility		$19.70	$20.50	$43.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.70 / $29.55 / $54.18	Facility		$19.70	$29.55	$54.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $17.73 / $17.73	Professional		$17.73	$17.73	$17.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.66 / $32.51 / $54.18	Facility		$22.66	$32.51	$54.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $19.70 / $52.99	Professional		$14.78	$19.70	$52.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $8.27 / $19.70	Professional		$8.27	$8.27	$19.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $8.86 / $10.19	Professional		$8.86	$8.86	$10.19