Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.56 / $35.65 / $138.04	Facility		$14.56	$35.65	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $27.00 / $30.89	Professional		$13.30	$27.00	$30.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $9.30 / $10.76	Professional		$9.30	$9.30	$10.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $31.62 / $175.00	Facility		$16.26	$31.62	$175.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $14.10 / $29.43	Professional		$7.65	$14.10	$29.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $24.97 / $45.32	Facility		$10.74	$24.97	$45.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $20.54 / $31.17	Professional		$10.85	$20.54	$31.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $14.94 / $16.43	Professional		$11.03	$14.94	$16.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $16.26 / $34.19	Facility		$15.49	$16.26	$34.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $23.24 / $42.60	Facility		$15.49	$23.24	$42.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $13.94 / $13.94	Professional		$13.94	$13.94	$13.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $25.56 / $42.60	Facility		$17.80	$25.56	$42.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $15.49 / $42.22	Professional		$11.62	$15.49	$42.22
United Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $7.68 / $17.35	Professional		$6.51	$7.68	$17.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $6.97 / $8.02	Professional		$6.97	$6.97	$8.02