Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $61.20 / $154.75	Facility		$16.32	$61.20	$154.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.17 / $30.88	Professional		$12.59	$15.17	$30.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $10.22 / $11.83	Professional		$10.22	$10.22	$11.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.88 / $34.06 / $97.00	Facility		$17.88	$34.06	$97.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $16.01 / $29.40	Professional		$8.41	$16.01	$29.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.79 / $27.45 / $49.82	Facility		$11.79	$27.45	$49.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $22.33 / $34.09	Professional		$11.88	$22.33	$34.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $16.43 / $18.07	Professional		$12.12	$16.43	$18.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $18.73 / $37.59	Facility		$17.03	$18.73	$37.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $17.03 / $17.03	Facility		$15.33	$17.03	$17.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $15.33 / $15.33	Professional		$15.33	$15.33	$15.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $28.10 / $46.83	Facility		$19.57	$28.10	$46.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $17.03 / $45.81	Professional		$12.77	$17.03	$45.81
United Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $7.66 / $17.03	Professional		$7.15	$7.66	$17.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $8.82 / $8.82	Professional		$8.82	$8.82	$8.82