Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.65 / $111.14 / $621.00	Facility		$27.65	$111.14	$621.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $26.78 / $95.89	Professional		$22.21	$26.78	$95.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Professional		$18.59	$18.59	$18.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $28.12 / $48.20 / $127.38	Facility		$28.12	$48.20	$127.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $25.17 / $43.61	Professional		$13.22	$25.17	$43.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $54.65 / $78.34	Facility		$18.54	$54.65	$78.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $35.28 / $53.57	Professional		$18.59	$35.28	$53.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.06 / $20.66 / $26.78	Professional		$19.06	$20.66	$26.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.78 / $26.78 / $59.12	Facility		$26.78	$26.78	$59.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.78 / $40.17 / $73.65	Facility		$26.78	$40.17	$73.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $28.12 / $38.03	Professional		$20.95	$28.12	$38.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.80 / $43.95 / $73.65	Facility		$30.80	$43.95	$73.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $26.78 / $71.86	Professional		$20.09	$26.78	$71.86
United Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $11.25 / $26.78	Professional		$11.25	$11.25	$26.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.05 / $13.87	Professional		$12.05	$12.05	$13.87