Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.60 / $87.92 / $293.45	Facility		$22.60	$87.92	$293.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $17.94 / $53.82	Professional		$16.82	$17.94	$53.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $14.14 / $14.14	Professional		$14.14	$14.14	$14.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $24.75 / $45.73 / $550.79	Facility		$24.75	$45.73	$550.79
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $19.14 / $42.00	Professional		$9.77	$19.14	$42.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $48.26 / $83.39	Facility		$13.72	$48.26	$83.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $28.47 / $39.44	Professional		$13.77	$28.47	$39.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $22.74 / $25.01	Professional		$16.78	$22.74	$25.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.57 / $24.75 / $52.03	Facility		$23.57	$24.75	$52.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.57 / $35.36 / $64.81	Facility		$23.57	$35.36	$64.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $21.21 / $21.21	Professional		$21.21	$21.21	$21.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $38.68 / $64.81	Facility		$27.11	$38.68	$64.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $23.57 / $63.77	Professional		$17.68	$23.57	$63.77
United Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $9.90 / $26.40	Professional		$9.90	$9.90	$26.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $10.61 / $12.21	Professional		$10.61	$10.61	$12.21