Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.94 / $79.23 / $143.63	Facility		$21.94	$79.23	$143.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $16.39 / $26.03	Professional		$9.47	$16.39	$26.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $14.09 / $34.02	Professional		$11.03	$14.09	$34.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $35.68 / $87.35	Facility		$19.30	$35.68	$87.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $17.29 / $31.75	Professional		$9.08	$17.29	$31.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $37.64 / $53.78	Facility		$12.75	$37.64	$53.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $21.22 / $36.52	Professional		$12.74	$21.22	$36.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $17.73 / $19.51	Professional		$13.09	$17.73	$19.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $19.30 / $40.60	Facility		$18.39	$19.30	$40.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $27.59 / $50.57	Facility		$18.39	$27.59	$50.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $16.55 / $16.55	Professional		$16.55	$16.55	$16.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.15 / $30.34 / $50.57	Facility		$21.15	$30.34	$50.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $18.39 / $49.40	Professional		$13.79	$18.39	$49.40
United Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $7.72 / $18.39	Professional		$7.72	$7.72	$18.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $8.27 / $9.52	Professional		$8.27	$8.27	$9.52