Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.49 / $42.52 / $144.38	Facility		$26.49	$42.52	$144.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $16.39 / $39.50	Professional		$13.79	$16.39	$39.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $16.01 / $16.68	Professional		$16.01	$16.01	$16.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $28.02 / $46.71 / $153.00	Facility		$28.02	$46.71	$153.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $20.53 / $43.04	Professional		$10.68	$20.53	$43.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.33 / $39.21 / $68.92	Facility		$12.33	$39.21	$68.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $30.98 / $38.72	Professional		$14.19	$30.98	$38.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $25.75 / $28.32	Professional		$19.00	$25.75	$28.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.69 / $28.02 / $58.92	Facility		$26.69	$28.02	$58.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.69 / $40.04 / $73.40	Facility		$26.69	$40.04	$73.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $24.02 / $24.02	Professional		$24.02	$24.02	$24.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.69 / $43.80 / $73.40	Facility		$30.69	$43.80	$73.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $26.69 / $71.86	Professional		$20.02	$26.69	$71.86
United Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $11.21 / $26.69	Professional		$10.45	$11.21	$26.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $12.01 / $13.83	Professional		$12.01	$12.01	$13.83