Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.63 / $77.73 / $343.80	Facility		$18.63	$77.73	$343.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $17.53 / $19.63	Professional		$12.76	$17.53	$19.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $13.63 / $13.63	Professional		$11.78	$13.63	$13.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $38.28 / $93.24	Facility		$20.61	$38.28	$93.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $19.63 / $32.72	Professional		$9.69	$19.63	$32.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $40.19 / $76.09	Facility		$13.58	$40.19	$76.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $25.90 / $38.96	Professional		$13.60	$25.90	$38.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $18.94 / $20.83	Professional		$13.97	$18.94	$20.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $19.63 / $43.33	Facility		$19.63	$19.63	$43.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $29.45 / $53.98	Facility		$19.63	$29.45	$53.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $22.73 / $27.87	Professional		$17.67	$22.73	$27.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.57 / $32.39 / $53.98	Facility		$22.57	$32.39	$53.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $19.63 / $52.99	Professional		$14.72	$19.63	$52.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $8.24 / $19.63	Professional		$8.24	$8.24	$19.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $8.83 / $10.17	Professional		$8.83	$8.83	$10.17