Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $66.86 / $158.32	Facility		$16.26	$66.86	$158.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $14.41 / $29.98	Professional		$6.62	$14.41	$29.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $11.67 / $28.56	Professional		$10.08	$11.67	$28.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $46.20 / $100.00	Facility		$17.64	$46.20	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $15.74 / $29.00	Professional		$8.30	$15.74	$29.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $34.40 / $49.14	Facility		$11.62	$34.40	$49.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $22.25 / $33.60	Professional		$11.71	$22.25	$33.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $16.21 / $17.83	Professional		$11.96	$16.21	$17.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $17.64 / $37.09	Facility		$16.80	$17.64	$37.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.12 / $16.80 / $16.80	Facility		$15.12	$16.80	$16.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $15.12 / $15.12	Professional		$15.12	$15.12	$15.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $27.72 / $46.20	Facility		$19.32	$27.72	$46.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $16.80 / $44.91	Professional		$12.60	$16.80	$44.91
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $7.56 / $18.82	Professional		$7.06	$7.56	$18.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $8.69 / $8.69	Professional		$8.69	$8.69	$8.69