Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.37 / $56.16 / $134.28	Facility		$24.37	$56.16	$134.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $22.91 / $42.50	Professional		$18.86	$22.91	$42.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $14.62 / $14.62	Professional		$14.62	$14.62	$14.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $48.74 / $144.75	Facility		$25.59	$48.74	$144.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $21.93 / $42.05	Professional		$12.04	$21.93	$42.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.88 / $49.90 / $71.28	Facility		$16.88	$49.90	$71.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $32.15 / $48.70	Professional		$16.87	$32.15	$48.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $23.51 / $25.86	Professional		$17.35	$23.51	$25.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.37 / $25.59 / $53.80	Facility		$24.37	$25.59	$53.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.37 / $36.56 / $67.02	Facility		$24.37	$36.56	$67.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.93 / $21.93 / $21.93	Professional		$21.93	$21.93	$21.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.03 / $40.21 / $67.02	Facility		$28.03	$40.21	$67.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $24.37 / $65.56	Professional		$18.28	$24.37	$65.56
United Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $12.08 / $24.37	Professional		$10.24	$12.08	$24.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.97 / $10.97 / $12.62	Professional		$10.97	$10.97	$12.62