Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.68 / $37.92 / $424.87	Facility		$30.68	$37.92	$424.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $15.34 / $23.60	Professional		$12.74	$15.34	$23.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $14.75 / $14.75	Professional		$14.75	$14.75	$14.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $24.78 / $42.48 / $319.45	Facility		$24.78	$42.48	$319.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $18.97 / $38.51	Professional		$9.44	$18.97	$38.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.41 / $48.32 / $164.76	Facility		$11.41	$48.32	$164.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $27.26 / $34.07	Professional		$12.46	$27.26	$34.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $23.60 / $25.96	Professional		$18.88	$23.60	$25.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.60 / $24.78 / $52.10	Facility		$23.60	$24.78	$52.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.60 / $35.40 / $64.90	Facility		$23.60	$35.40	$64.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $21.24 / $21.24	Professional		$21.24	$21.24	$21.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.14 / $38.72 / $64.90	Facility		$27.14	$38.72	$64.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $23.60 / $63.77	Professional		$17.70	$23.60	$63.77
United Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $9.91 / $23.60	Professional		$9.50	$9.91	$23.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $12.22	Professional		$10.62	$10.62	$12.22