Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.11 / $92.06 / $314.56	Facility		$25.11	$92.06	$314.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.89 / $54.46 / $83.18	Professional		$22.89	$54.46	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $15.27 / $17.68	Professional		$15.27	$15.27	$17.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $26.72 / $49.63 / $121.47	Facility		$26.72	$49.63	$121.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $23.16 / $48.36	Professional		$12.57	$23.16	$48.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $46.55 / $74.43	Facility		$17.60	$46.55	$74.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $32.99 / $50.64	Professional		$17.73	$32.99	$50.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $24.55 / $27.00	Professional		$18.12	$24.55	$27.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $28.00 / $56.18	Facility		$25.45	$28.00	$56.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $38.18 / $69.98	Facility		$25.45	$38.18	$69.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.27 / $41.99 / $69.98	Facility		$29.27	$41.99	$69.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $25.45 / $68.26	Professional		$19.09	$25.45	$68.26
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $10.69 / $30.54	Professional		$10.69	$10.69	$30.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $11.45 / $13.18	Professional		$11.45	$11.45	$13.18