Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $47.59 / $118.80	Facility		$16.89	$47.59	$118.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $16.29 / $20.68	Professional		$12.22	$16.29	$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 / $33.99 / $85.41	Facility		$18.88	$33.99	$85.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $17.98 / $29.96	Professional		$8.88	$17.98	$29.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.54 / $32.59 / $52.61	Facility		$12.54	$32.59	$52.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $22.07 / $33.74	Professional		$12.57	$22.07	$33.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $17.98 / $39.69	Facility		$17.98	$17.98	$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 / $20.82 / $25.53	Professional		$16.18	$20.82	$25.53
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 / $17.98	Professional		$7.55	$7.55	$17.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $8.09 / $9.31	Professional		$8.09	$8.09	$9.31