Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.81 / $83.39 / $167.83	Facility		$34.81	$83.39	$167.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $24.10 / $30.80	Professional		$20.72	$24.10	$30.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $18.59 / $18.59	Professional		$16.07	$18.59	$18.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $28.12 / $46.87 / $128.00	Facility		$28.12	$46.87	$128.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $24.10 / $50.88	Professional		$13.22	$24.10	$50.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $48.58 / $78.34	Facility		$18.54	$48.58	$78.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $34.75 / $53.57	Professional		$18.59	$34.75	$53.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.06 / $25.83 / $28.41	Professional		$19.06	$25.83	$28.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.78 / $28.12 / $61.50	Facility		$26.78	$28.12	$61.50
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 $24.10 / $24.10 / $24.10	Professional		$24.10	$24.10	$24.10
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