Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.20 / $74.25 / $152.02	Facility		$27.20	$74.25	$152.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $25.09 / $32.32	Professional		$14.89	$25.09	$32.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $19.51 / $19.51	Professional		$16.86	$19.51	$19.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $56.20 / $137.00	Facility		$29.51	$56.20	$137.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $25.57 / $49.96	Professional		$13.88	$25.57	$49.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.22 / $45.31 / $82.22	Facility		$18.22	$45.31	$82.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $35.42 / $56.00	Professional		$19.63	$35.42	$56.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $27.11 / $29.82	Professional		$20.00	$27.11	$29.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $29.51 / $62.03	Facility		$28.10	$29.51	$62.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $42.15 / $77.28	Facility		$28.10	$42.15	$77.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.29 / $25.29 / $25.29	Professional		$25.29	$25.29	$25.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.93 / $46.11 / $77.28	Facility		$30.93	$46.11	$77.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $28.10 / $75.45	Professional		$21.08	$28.10	$75.45
United Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $11.80 / $31.47	Professional		$11.80	$11.80	$31.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $12.65 / $14.56	Professional		$12.65	$12.65	$14.56