Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.29 / $57.75 / $113.65	Facility		$17.29	$57.75	$113.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $16.59 / $22.01	Professional		$13.61	$16.59	$22.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $12.78 / $34.02	Professional		$11.03	$12.78	$34.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $36.78 / $96.88	Facility		$19.30	$36.78	$96.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $16.73 / $31.75	Professional		$9.08	$16.73	$31.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $36.43 / $53.78	Facility		$12.75	$36.43	$53.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $23.87 / $36.52	Professional		$12.74	$23.87	$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 / $9.11 / $18.39	Professional		$7.72	$9.11	$18.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $8.27 / $9.52	Professional		$8.27	$8.27	$9.52