Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $50.43 / $132.60	Facility		$23.50	$50.43	$132.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $22.22 / $42.72	Professional		$13.73	$22.22	$42.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $17.02	Professional		$17.02	$17.02	$17.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $25.74 / $47.79 / $116.76	Facility		$25.74	$47.79	$116.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $22.30 / $42.25	Professional		$12.10	$22.30	$42.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.95 / $44.45 / $71.69	Facility		$16.95	$44.45	$71.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.04 / $32.15 / $48.70	Professional		$17.04	$32.15	$48.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $23.64 / $26.00	Professional		$17.44	$23.64	$26.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.51 / $25.74 / $54.11	Facility		$24.51	$25.74	$54.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.51 / $36.77 / $67.40	Facility		$24.51	$36.77	$67.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $22.06 / $22.06	Professional		$22.06	$22.06	$22.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.19 / $40.44 / $67.40	Facility		$28.19	$40.44	$67.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $24.51 / $66.47	Professional		$18.38	$24.51	$66.47
United Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $10.29 / $24.51	Professional		$10.29	$10.29	$24.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $11.03 / $12.70	Professional		$11.03	$11.03	$12.70