Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $47.64 / $113.89	Facility		$20.67	$47.64	$113.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $18.01 / $20.26	Professional		$15.28	$18.01	$20.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $12.40 / $12.40	Professional		$12.40	$12.40	$12.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $40.31 / $99.06	Facility		$21.70	$40.31	$99.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $18.60 / $35.70	Professional		$10.21	$18.60	$35.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $37.49 / $60.48	Facility		$14.32	$37.49	$60.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $26.68 / $41.39	Professional		$14.46	$26.68	$41.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $19.94 / $21.93	Professional		$14.72	$19.94	$21.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $21.70 / $45.63	Facility		$20.67	$21.70	$45.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $31.01 / $56.84	Facility		$20.67	$31.01	$56.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $18.60 / $18.60	Professional		$18.60	$18.60	$18.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $34.11 / $56.84	Facility		$23.77	$34.11	$56.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $20.67 / $55.69	Professional		$15.50	$20.67	$55.69
United Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $8.68 / $23.15	Professional		$8.68	$8.68	$23.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $9.30 / $10.71	Professional		$9.30	$9.30	$10.71