Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $78.81 / $137.22	Facility		$19.80	$78.81	$137.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $18.19 / $33.29	Professional		$11.06	$18.19	$33.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $14.49 / $35.46	Professional		$12.52	$14.49	$35.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.90 / $47.57 / $100.00	Facility		$21.90	$47.57	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $19.61 / $36.00	Professional		$10.30	$19.61	$36.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $37.44 / $61.02	Facility		$14.45	$37.44	$61.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $27.03 / $41.88	Professional		$14.46	$27.03	$41.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $20.12 / $22.13	Professional		$14.85	$20.12	$22.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $21.90 / $46.05	Facility		$20.86	$21.90	$46.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $31.29 / $57.36	Facility		$20.86	$31.29	$57.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $18.77 / $18.77	Professional		$18.77	$18.77	$18.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $34.42 / $57.37	Facility		$23.99	$34.42	$57.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $20.86 / $56.59	Professional		$15.65	$20.86	$56.59
United Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $10.43 / $23.36	Professional		$8.76	$10.43	$23.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.39 / $9.39 / $10.81	Professional		$9.39	$9.39	$10.81