Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $83.20 / $559.54	Facility		$17.39	$83.20	$559.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.26 / $78.15 / $162.60	Professional		$16.26	$78.15	$162.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $12.46 / $12.46	Professional		$12.46	$12.46	$12.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $35.86 / $119.48	Facility		$18.82	$35.86	$119.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $16.37 / $30.95	Professional		$8.86	$16.37	$30.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.42 / $35.61 / $52.43	Facility		$12.42	$35.61	$52.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $23.67 / $36.04	Professional		$12.40	$23.67	$36.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $17.30 / $19.03	Professional		$12.76	$17.30	$19.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $18.82 / $39.58	Facility		$17.93	$18.82	$39.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $26.90 / $49.31	Facility		$17.93	$26.90	$49.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $16.14 / $16.14	Professional		$16.14	$16.14	$16.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $29.58 / $49.31	Facility		$20.62	$29.58	$49.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $17.93 / $48.50	Professional		$13.45	$17.93	$48.50
United Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $7.53 / $17.93	Professional		$7.53	$7.53	$17.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $8.07 / $9.28	Professional		$8.07	$8.07	$9.28