Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $72.20 / $126.94	Facility		$19.82	$72.20	$126.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $17.42 / $34.58	Professional		$14.32	$17.42	$34.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $13.44 / $35.79	Professional		$9.68	$13.44	$35.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $37.72 / $91.98	Facility		$20.32	$37.72	$91.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $18.19 / $33.40	Professional		$9.56	$18.19	$33.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.40 / $39.63 / $56.61	Facility		$13.40	$39.63	$56.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $25.02 / $38.47	Professional		$13.43	$25.02	$38.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $18.67 / $20.53	Professional		$13.77	$18.67	$20.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $20.32 / $42.72	Facility		$19.35	$20.32	$42.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $29.03 / $53.21	Facility		$19.35	$29.03	$53.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $17.42 / $17.42	Professional		$17.42	$17.42	$17.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.25 / $31.93 / $53.21	Facility		$22.25	$31.93	$53.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $19.35 / $52.10	Professional		$14.51	$19.35	$52.10
United Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $14.61 / $14.61	Facility		$14.61	$14.61	$14.61
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $21.67	Professional		$8.13	$8.13	$21.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $10.02	Professional		$8.71	$8.71	$10.02