Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.94 / $81.00 / $167.08	Facility		$23.94	$81.00	$167.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $21.78 / $30.46	Professional		$9.94	$21.78	$30.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $15.28 / $15.28	Professional		$15.28	$15.28	$15.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $26.74 / $49.67 / $121.47	Facility		$26.74	$49.67	$121.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $23.18 / $48.39	Professional		$12.58	$23.18	$48.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $41.07 / $74.52	Facility		$14.58	$41.07	$74.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $33.49 / $50.64	Professional		$17.73	$33.49	$50.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.13 / $24.57 / $27.02	Professional		$18.13	$24.57	$27.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.47 / $26.74 / $66.63	Facility		$25.47	$26.74	$66.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.47 / $38.21 / $70.04	Facility		$25.47	$38.21	$70.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $22.92 / $22.92	Professional		$22.92	$22.92	$22.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $42.03 / $70.04	Facility		$29.29	$42.03	$70.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $25.47 / $69.16	Professional		$19.10	$25.47	$69.16
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $10.70 / $25.47	Professional		$10.70	$10.70	$25.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $11.46 / $13.19	Professional		$11.46	$11.46	$13.19