Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $60.47 / $174.47	Facility		$19.10	$60.47	$174.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $17.72 / $19.10	Professional		$16.86	$17.72	$19.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $12.19 / $14.11	Professional		$12.19	$12.19	$14.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.34 / $41.47 / $129.00	Facility		$21.34	$41.47	$129.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $18.48 / $35.04	Professional		$10.03	$18.48	$35.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.06 / $41.61 / $214.95	Facility		$14.06	$41.61	$214.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $26.79 / $40.42	Professional		$14.12	$26.79	$40.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $19.60 / $21.56	Professional		$14.46	$19.60	$21.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $21.34 / $51.25	Facility		$20.32	$21.34	$51.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $30.48 / $55.88	Facility		$20.32	$30.48	$55.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $18.29 / $18.29	Professional		$18.29	$18.29	$18.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.37 / $33.53 / $55.88	Facility		$23.37	$33.53	$55.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $20.32 / $54.79	Professional		$15.24	$20.32	$54.79
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $8.52 / $20.32	Professional		$8.52	$8.52	$20.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $9.14 / $10.53	Professional		$9.14	$9.14	$10.53