Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $67.58 / $173.25	Facility		$25.33	$67.58	$173.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $22.25 / $43.42	Professional		$16.59	$22.25	$43.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $17.73 / $17.73	Professional		$15.32	$17.73	$17.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $26.81 / $51.06 / $169.40	Facility		$26.81	$51.06	$169.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $23.23 / $44.05	Professional		$12.61	$23.23	$44.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.79 / $41.14 / $74.66	Facility		$15.79	$41.14	$74.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $33.49 / $51.13	Professional		$17.73	$33.49	$51.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $24.63 / $27.09	Professional		$18.17	$24.63	$27.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.53 / $28.08 / $56.36	Facility		$25.53	$28.08	$56.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.53 / $38.29 / $70.20	Facility		$25.53	$38.29	$70.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $22.98 / $22.98	Professional		$22.98	$22.98	$22.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.36 / $42.12 / $70.20	Facility		$29.36	$42.12	$70.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $25.53 / $69.16	Professional		$19.14	$25.53	$69.16
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $28.59	Professional		$10.72	$10.72	$28.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $11.49 / $13.22	Professional		$11.49	$11.49	$13.22