Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.14 / $59.68 / $129.52	Facility		$16.14	$59.68	$129.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $15.05 / $19.38	Professional		$12.06	$15.05	$19.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.11 / $11.70	Professional		$10.11	$10.11	$11.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.69 / $32.86 / $89.00	Facility		$17.69	$32.86	$89.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $15.33 / $29.05	Professional		$8.32	$15.33	$29.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $28.34 / $49.28	Facility		$11.66	$28.34	$49.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $22.33 / $33.60	Professional		$11.71	$22.33	$33.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $16.26 / $17.88	Professional		$12.00	$16.26	$17.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $17.69 / $35.39	Facility		$16.85	$17.69	$35.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $25.28 / $46.34	Facility		$16.85	$25.28	$46.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $15.17 / $15.17	Professional		$15.17	$15.17	$15.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $27.80 / $46.34	Facility		$19.38	$27.80	$46.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $16.85 / $45.81	Professional		$12.64	$16.85	$45.81
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $18.87	Professional		$7.08	$7.08	$18.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $7.58 / $8.73	Professional		$7.58	$7.58	$8.73