Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.47 / $69.33 / $134.68	Facility		$22.47	$69.33	$134.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $19.55 / $33.64	Professional		$15.21	$19.55	$33.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $13.04 / $36.94	Professional		$13.04	$13.04	$36.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $22.82 / $42.37 / $103.80	Facility		$22.82	$42.37	$103.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $19.77 / $41.29	Professional		$10.73	$19.77	$41.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $40.47 / $63.54	Facility		$15.04	$40.47	$63.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $28.08 / $43.34	Professional		$15.15	$28.08	$43.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $20.96 / $23.05	Professional		$15.47	$20.96	$23.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.73 / $23.90 / $47.97	Facility		$21.73	$23.90	$47.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.73 / $32.60 / $59.76	Facility		$21.73	$32.60	$59.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $19.55 / $19.55	Professional		$19.55	$19.55	$19.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.99 / $35.85 / $59.76	Facility		$24.99	$35.85	$59.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $21.73 / $58.38	Professional		$16.30	$21.73	$58.38
United Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $9.13 / $21.73	Professional		$9.13	$9.13	$21.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $11.26	Professional		$9.77	$9.77	$11.26