Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.14 / $62.66 / $225.98	Facility		$23.14	$62.66	$225.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $30.19 / $45.28	Professional		$21.23	$30.19	$45.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $25.06 / $25.06	Professional		$25.06	$25.06	$25.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $41.77 / $81.03 / $275.00	Facility		$41.77	$81.03	$275.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $31.33 / $67.95	Professional		$16.71	$31.33	$67.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $61.36 / $107.85	Facility		$17.27	$61.36	$107.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $47.14 / $59.89	Professional		$22.16	$47.14	$59.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $40.29 / $44.33	Professional		$29.74	$40.29	$44.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.77 / $43.86 / $92.21	Facility		$41.77	$43.86	$92.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.59 / $62.66 / $114.87	Facility		$37.59	$62.66	$114.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $37.59 / $37.59	Professional		$37.59	$37.59	$37.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.86 / $68.54 / $114.87	Facility		$43.86	$68.54	$114.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $41.77 / $112.28	Professional		$31.33	$41.77	$112.28
United Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $17.54 / $41.77	Professional		$14.30	$17.54	$41.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $18.80 / $21.64	Professional		$18.80	$18.80	$21.64