Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.68 / $79.23 / $167.66	Facility		$21.68	$79.23	$167.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.65 / $15.22 / $27.98	Professional		$13.65	$15.22	$27.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $13.26 / $13.26	Professional		$12.73	$13.26	$13.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $22.27 / $42.42 / $147.00	Facility		$22.27	$42.42	$147.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $18.97 / $34.54	Professional		$8.48	$18.97	$34.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.41 / $43.44 / $65.98	Facility		$11.41	$43.44	$65.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $24.37 / $33.11	Professional		$11.36	$24.37	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $20.46 / $22.50	Professional		$15.10	$20.46	$22.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.21 / $22.27 / $46.82	Facility		$21.21	$22.27	$46.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.21 / $31.82 / $58.33	Facility		$21.21	$31.82	$58.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $19.09 / $19.09	Professional		$19.09	$19.09	$19.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $34.81 / $58.33	Facility		$24.39	$34.81	$58.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $21.21 / $57.48	Professional		$15.91	$21.21	$57.48
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $23.76	Professional		$8.91	$8.91	$23.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $9.53 / $10.99	Professional		$9.53	$9.53	$10.99