Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $75.30 / $169.65	Facility		$20.14	$75.30	$169.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $18.87 / $34.01	Professional		$17.70	$18.87	$34.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $14.46 / $14.46	Professional		$12.49	$14.46	$14.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $47.86 / $109.00	Facility		$21.85	$47.86	$109.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $18.94 / $35.90	Professional		$10.28	$18.94	$35.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $42.62 / $60.89	Facility		$14.40	$42.62	$60.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $27.03 / $41.39	Professional		$14.46	$27.03	$41.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $20.07 / $22.08	Professional		$14.81	$20.07	$22.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $21.85 / $45.94	Facility		$20.81	$21.85	$45.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $31.21 / $57.23	Facility		$20.81	$31.21	$57.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $18.73 / $18.73	Professional		$18.73	$18.73	$18.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $34.34 / $57.23	Facility		$23.93	$34.34	$57.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $20.81 / $56.59	Professional		$15.61	$20.81	$56.59
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $8.74 / $20.81	Professional		$8.74	$8.74	$20.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $9.36 / $10.78	Professional		$9.36	$9.36	$10.78