Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.58 / $99.24 / $322.20	Facility		$25.58	$99.24	$322.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $25.59 / $40.82	Professional		$22.79	$25.59	$40.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.61 / $18.61 / $18.61	Professional		$18.61	$18.61	$18.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $28.58 / $53.08 / $129.30	Facility		$28.58	$53.08	$129.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $27.22 / $44.18	Professional		$13.23	$27.22	$44.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $55.72 / $108.48	Facility		$13.36	$55.72	$108.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $32.89 / $50.62	Professional		$18.59	$32.89	$50.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $26.26 / $28.88	Professional		$19.38	$26.26	$28.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.22 / $28.58 / $60.09	Facility		$27.22	$28.58	$60.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.22 / $40.83 / $74.84	Facility		$27.22	$40.83	$74.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $31.02 / $38.65	Professional		$24.50	$31.02	$38.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.30 / $44.67 / $74.86	Facility		$31.30	$44.67	$74.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $27.22 / $73.65	Professional		$20.42	$27.22	$73.65
United Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $11.66 / $27.76	Professional		$11.43	$11.66	$27.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $12.25 / $14.10	Professional		$12.25	$12.25	$14.10