Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.06 / $63.87 / $161.49	Facility		$28.06	$63.87	$161.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.82 / $27.07 / $43.67	Professional		$15.82	$27.07	$43.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $20.73 / $20.73	Professional		$20.73	$20.73	$20.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $31.34 / $56.22 / $142.71	Facility		$31.34	$56.22	$142.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $26.87 / $51.50	Professional		$14.74	$26.87	$51.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.68 / $48.11 / $87.30	Facility		$20.68	$48.11	$87.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $39.29 / $59.41	Professional		$20.83	$39.29	$59.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $28.80 / $31.68	Professional		$21.25	$28.80	$31.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.85 / $31.34 / $65.89	Facility		$29.85	$31.34	$65.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.85 / $44.78 / $82.09	Facility		$29.85	$44.78	$82.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $26.87 / $26.87	Professional		$26.87	$26.87	$26.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.33 / $49.25 / $82.09	Facility		$34.33	$49.25	$82.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $29.85 / $80.84	Professional		$22.39	$29.85	$80.84
United Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $12.54 / $29.85	Professional		$12.54	$12.54	$29.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $13.43 / $15.46	Professional		$13.43	$13.43	$15.46