Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $69.01 / $161.97	Facility		$25.00	$69.01	$161.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $23.64 / $39.10	Professional		$20.17	$23.64	$39.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $18.11	Professional		$18.11	$18.11	$18.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $27.37 / $50.84 / $125.01	Facility		$27.37	$50.84	$125.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $23.46 / $45.00	Professional		$12.87	$23.46	$45.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $53.39 / $113.34	Facility		$18.05	$53.39	$113.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $34.39 / $52.11	Professional		$18.07	$34.39	$52.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $25.15 / $27.66	Professional		$18.55	$25.15	$27.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $27.37 / $57.55	Facility		$26.07	$27.37	$57.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $39.11 / $71.69	Facility		$26.07	$39.11	$71.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $23.46 / $23.46	Professional		$23.46	$23.46	$23.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $43.02 / $71.69	Facility		$29.98	$43.02	$71.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $26.07 / $70.06	Professional		$19.55	$26.07	$70.06
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $10.95 / $29.20	Professional		$10.95	$10.95	$29.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $11.73 / $13.50	Professional		$11.73	$11.73	$13.50