Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.29 / $32.24 / $109.50	Facility		$12.29	$32.24	$109.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $18.04 / $19.03	Professional		$13.16	$18.04	$19.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $14.06 / $14.06	Professional		$12.14	$14.06	$14.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $40.47 / $109.00	Facility		$21.25	$40.47	$109.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $18.42 / $37.01	Professional		$9.99	$18.42	$37.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $41.45 / $59.22	Facility		$14.02	$41.45	$59.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $23.54 / $40.42	Professional		$13.31	$23.54	$40.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $19.53 / $21.48	Professional		$14.40	$19.53	$21.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $22.26 / $44.68	Facility		$20.23	$22.26	$44.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.22 / $30.36 / $55.66	Facility		$18.22	$30.36	$55.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $18.22 / $18.22	Professional		$18.22	$18.22	$18.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $33.21 / $55.66	Facility		$21.25	$33.21	$55.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $20.23 / $54.79	Professional		$15.18	$20.23	$54.79
United Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $8.50 / $22.67	Professional		$8.50	$8.50	$22.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $9.11 / $10.48	Professional		$9.11	$9.11	$10.48