Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.13 / $78.06 / $194.71	Facility		$20.13	$78.06	$194.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $19.27 / $24.62	Professional		$16.18	$19.27	$24.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $12.85 / $12.85	Professional		$12.85	$12.85	$12.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $22.48 / $42.82 / $235.62	Facility		$22.48	$42.82	$235.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $19.48 / $37.00	Professional		$10.57	$19.48	$37.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $36.03 / $62.64	Facility		$14.83	$36.03	$62.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $28.13 / $42.85	Professional		$14.98	$28.13	$42.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $20.65 / $22.71	Professional		$15.24	$20.65	$22.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.41 / $22.48 / $51.25	Facility		$21.41	$22.48	$51.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.41 / $32.11 / $58.88	Facility		$21.41	$32.11	$58.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $19.27 / $19.27	Professional		$19.27	$19.27	$19.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.62 / $35.33 / $58.88	Facility		$24.62	$35.33	$58.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $21.41 / $57.48	Professional		$16.05	$21.41	$57.48
United Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $8.99 / $21.41	Professional		$8.99	$8.99	$21.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $9.63 / $11.09	Professional		$9.63	$9.63	$11.09