Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.56 / $81.27 / $249.05	Facility		$21.56	$81.27	$249.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $20.80 / $40.90	Professional		$17.34	$20.80	$40.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $13.76 / $15.93	Professional		$13.76	$13.76	$15.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $24.09 / $44.73 / $214.96	Facility		$24.09	$44.73	$214.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $20.88 / $39.60	Professional		$11.33	$20.88	$39.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $46.97 / $67.09	Facility		$15.89	$46.97	$67.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $30.37 / $45.77	Professional		$16.01	$30.37	$45.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.33 / $22.13 / $24.34	Professional		$16.33	$22.13	$24.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $24.09 / $51.25	Facility		$22.94	$24.09	$51.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $34.40 / $63.09	Facility		$22.94	$34.40	$63.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $20.65 / $20.65	Professional		$20.65	$20.65	$20.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.38 / $37.85 / $63.09	Facility		$26.38	$37.85	$63.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $22.94 / $61.98	Professional		$17.21	$22.94	$61.98
United Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $9.63 / $22.94	Professional		$9.63	$9.63	$22.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $10.32 / $11.88	Professional		$10.32	$10.32	$11.88