Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $49.43 / $126.76	Facility		$16.82	$49.43	$126.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $16.23 / $31.20	Professional		$13.85	$16.23	$31.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $10.74 / $10.74	Professional		$10.74	$10.74	$10.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $32.28 / $140.00	Facility		$18.80	$32.28	$140.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $16.29 / $30.90	Professional		$8.84	$16.29	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.40 / $36.67 / $56.67	Facility		$12.40	$36.67	$56.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $23.17 / $35.54	Professional		$12.40	$23.17	$35.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $17.27 / $18.99	Professional		$12.74	$17.27	$18.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $18.80 / $44.08	Facility		$17.89	$18.80	$44.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $26.85 / $49.22	Facility		$17.89	$26.85	$49.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $16.11 / $16.11	Professional		$16.11	$16.11	$16.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.59 / $29.37 / $49.23	Facility		$20.59	$29.37	$49.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $17.89 / $48.50	Professional		$13.43	$17.89	$48.50
United Facility/Professional Facility Modifier Low / Median / High Price $11.64 / $17.01 / $17.89	Facility		$11.64	$17.01	$17.89
United Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $8.06 / $21.48	Professional		$7.52	$8.06	$21.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $8.06 / $9.27	Professional		$8.06	$8.06	$9.27