Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $41.43 / $117.95	Facility		$17.73	$41.43	$117.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $16.05 / $20.68	Professional		$13.29	$16.05	$20.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $10.79 / $10.79	Professional		$10.79	$10.79	$10.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.88 / $35.96 / $86.10	Facility		$18.88	$35.96	$86.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $16.18 / $31.00	Professional		$8.88	$16.18	$31.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.45 / $32.59 / $52.61	Facility		$12.45	$32.59	$52.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $23.17 / $36.04	Professional		$12.57	$23.17	$36.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $17.35 / $19.08	Professional		$12.80	$17.35	$19.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $18.88 / $39.69	Facility		$17.98	$18.88	$39.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $26.97 / $49.45	Facility		$17.98	$26.97	$49.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $16.18 / $16.18	Professional		$16.18	$16.18	$16.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.68 / $29.67 / $49.45	Facility		$20.68	$29.67	$49.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.98 / $48.50	Professional		$13.49	$17.98	$48.50
United Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $7.55 / $20.14	Professional		$7.55	$7.55	$20.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $8.09 / $9.31	Professional		$8.09	$8.09	$9.31