Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $59.93 / $153.00	Facility		$20.65	$59.93	$153.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $19.55 / $37.74	Professional		$16.10	$19.55	$37.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $14.46	Professional		$12.49	$12.49	$14.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $42.48 / $100.00	Facility		$21.85	$42.48	$100.00
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 / $34.00 / $60.89	Facility		$14.40	$34.00	$60.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $27.24 / $41.39	Professional		$14.46	$27.24	$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 / $22.89 / $45.94	Facility		$20.81	$22.89	$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