Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.82 / $81.27 / $186.40	Facility		$29.82	$81.27	$186.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $20.50 / $37.51	Professional		$17.76	$20.50	$37.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $13.76 / $13.76	Professional		$13.76	$13.76	$13.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $24.09 / $44.73 / $194.65	Facility		$24.09	$44.73	$194.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $21.56 / $39.60	Professional		$11.33	$21.56	$39.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $46.97 / $140.06	Facility		$15.89	$46.97	$140.06
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 / $10.32 / $22.94	Professional		$9.63	$10.32	$22.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $10.32 / $11.88	Professional		$10.32	$10.32	$11.88