Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.33 / $50.92 / $195.65	Facility		$23.33	$50.92	$195.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $16.37 / $32.15	Professional		$12.06	$16.37	$32.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $15.07 / $15.07	Professional		$15.07	$15.07	$15.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $25.32 / $48.22 / $188.00	Facility		$25.32	$48.22	$188.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $20.82 / $45.81	Professional		$9.64	$20.82	$45.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $35.40 / $62.68	Facility		$12.50	$35.40	$62.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $28.08 / $36.04	Professional		$12.81	$28.08	$36.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $23.26 / $25.58	Professional		$17.16	$23.26	$25.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.11 / $25.32 / $53.22	Facility		$24.11	$25.32	$53.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.11 / $36.17 / $66.30	Facility		$24.11	$36.17	$66.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $21.70	Professional		$21.70	$21.70	$21.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.73 / $39.56 / $66.30	Facility		$27.73	$39.56	$66.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $24.11 / $64.67	Professional		$18.07	$24.11	$64.67
United Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $10.13 / $25.23	Professional		$10.13	$10.13	$25.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $10.85 / $12.49	Professional		$10.85	$10.85	$12.49