Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $75.00 / $190.80	Facility		$19.98	$75.00	$190.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $19.12 / $21.48	Professional		$15.72	$19.12	$21.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $12.76 / $12.76	Professional		$12.76	$12.76	$12.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $22.32 / $43.39 / $183.00	Facility		$22.32	$43.39	$183.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $19.35 / $39.84	Professional		$10.50	$19.35	$39.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $34.27 / $62.19	Facility		$14.72	$34.27	$62.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $28.13 / $42.37	Professional		$14.81	$28.13	$42.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $20.51 / $22.56	Professional		$15.13	$20.51	$22.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $22.32 / $46.93	Facility		$21.26	$22.32	$46.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $31.89 / $58.47	Facility		$21.26	$31.89	$58.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.13 / $19.13 / $19.13	Professional		$19.13	$19.13	$19.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.45 / $35.08 / $58.47	Facility		$24.45	$35.08	$58.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $21.26 / $57.48	Professional		$15.95	$21.26	$57.48
United Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $8.93 / $21.26	Professional		$8.93	$8.93	$21.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $9.57 / $11.01	Professional		$9.57	$9.57	$11.01