Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $82.61 / $180.63	Facility		$30.79	$82.61	$180.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $22.18 / $42.46	Professional		$16.23	$22.18	$42.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $17.93 / $47.75	Professional		$15.49	$17.93	$47.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $50.33 / $123.84	Facility		$27.10	$50.33	$123.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $23.49 / $44.55	Professional		$12.75	$23.49	$44.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.88 / $52.62 / $75.51	Facility		$17.88	$52.62	$75.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $33.94 / $51.62	Professional		$17.89	$33.94	$51.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $24.90 / $27.39	Professional		$18.37	$24.90	$27.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $27.10 / $61.50	Facility		$25.81	$27.10	$61.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $38.71 / $70.98	Facility		$25.81	$38.71	$70.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $23.23 / $23.23	Professional		$23.23	$23.23	$23.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.68 / $42.59 / $70.98	Facility		$29.68	$42.59	$70.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $25.81 / $70.06	Professional		$19.36	$25.81	$70.06
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $10.84 / $28.91	Professional		$10.84	$10.84	$28.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $11.61 / $13.37	Professional		$11.61	$11.61	$13.37