Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $78.42 / $181.26	Facility		$19.23	$78.42	$181.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $17.05 / $51.15	Professional		$14.33	$17.05	$51.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $13.46 / $35.85	Professional		$11.63	$13.46	$35.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $39.56 / $100.00	Facility		$20.35	$39.56	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $17.64 / $33.45	Professional		$9.57	$17.64	$33.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $39.69 / $56.70	Facility		$13.43	$39.69	$56.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $25.45 / $38.47	Professional		$13.43	$25.45	$38.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $18.70 / $20.57	Professional		$13.80	$18.70	$20.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $20.35 / $50.23	Facility		$19.38	$20.35	$50.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $29.07 / $53.29	Facility		$19.38	$29.07	$53.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $17.44 / $17.44	Professional		$17.44	$17.44	$17.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.29 / $31.98 / $53.30	Facility		$22.29	$31.98	$53.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $19.38 / $52.10	Professional		$14.54	$19.38	$52.10
United Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $8.14 / $19.38	Professional		$8.14	$8.14	$19.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $8.72 / $10.03	Professional		$8.72	$8.72	$10.03