Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $57.52 / $216.84	Facility		$13.52	$57.52	$216.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $12.94 / $16.54	Professional		$9.35	$12.94	$16.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $9.99 / $9.99	Professional		$9.99	$9.99	$9.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.10 / $39.54 / $95.00	Facility		$15.10	$39.54	$95.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $12.94 / $27.32	Professional		$7.10	$12.94	$27.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $29.45 / $42.08	Facility		$9.94	$29.45	$42.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $18.60 / $28.73	Professional		$9.99	$18.60	$28.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $13.87 / $15.25	Professional		$10.24	$13.87	$15.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $15.10 / $31.74	Facility		$14.38	$15.10	$31.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.94 / $14.38 / $27.76	Facility		$12.94	$14.38	$27.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $12.94 / $12.94	Professional		$12.94	$12.94	$12.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $23.60 / $39.54	Facility		$16.54	$23.60	$39.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $14.38 / $38.61	Professional		$10.79	$14.38	$38.61
United Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $6.47 / $16.11	Professional		$6.04	$6.47	$16.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $7.45 / $7.45	Professional		$7.45	$7.45	$7.45