Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $68.68 / $160.56	Facility		$27.86	$68.68	$160.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $26.60 / $51.14	Professional		$24.34	$26.60	$51.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $17.61 / $20.38	Professional		$17.61	$17.61	$20.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $30.82 / $57.23 / $215.25	Facility		$30.82	$57.23	$215.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $26.71 / $63.76	Professional		$14.49	$26.71	$63.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $60.10 / $85.86	Facility		$20.30	$60.10	$85.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $47.99 / $81.39	Professional		$24.34	$47.99	$81.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $11.30 / $31.14	Professional		$8.22	$11.30	$31.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $32.29 / $64.79	Facility		$29.35	$32.29	$64.79
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $29.35 / $32.29	Professional		$29.35	$29.35	$32.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $44.03 / $80.70	Facility		$29.35	$44.03	$80.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $26.42 / $26.42	Professional		$26.42	$26.42	$26.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $48.43 / $80.70	Facility		$33.75	$48.43	$80.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $29.98 / $125.75	Professional		$22.01	$29.98	$125.75
United Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $13.21 / $32.86	Professional		$12.33	$13.21	$32.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $13.21 / $15.20	Professional		$13.21	$13.21	$15.20