Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $56.68 / $144.18	Facility		$34.65	$56.68	$144.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $21.92 / $25.05	Professional		$17.86	$21.92	$25.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $16.39 / $17.07	Professional		$15.99	$16.39	$17.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $27.98 / $51.70 / $126.59	Facility		$27.98	$51.70	$126.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $23.99 / $43.04	Professional		$12.15	$23.99	$43.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $42.95 / $77.94	Facility		$17.03	$42.95	$77.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.04 / $35.28 / $49.18	Professional		$17.04	$35.28	$49.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $25.71 / $28.28	Professional		$18.97	$25.71	$28.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.65 / $29.32 / $58.83	Facility		$26.65	$29.32	$58.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.65 / $39.97 / $73.29	Facility		$26.65	$39.97	$73.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.65 / $43.73 / $73.29	Facility		$30.65	$43.73	$73.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $26.65 / $71.86	Professional		$19.98	$26.65	$71.86
United Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $11.19 / $29.85	Professional		$11.19	$11.19	$29.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $11.99 / $13.80	Professional		$11.99	$11.99	$13.80