Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.83 / $75.59 / $128.94	Facility		$31.83	$75.59	$128.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $20.99 / $33.06	Professional		$12.76	$20.99	$33.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $16.72 / $44.55	Professional		$12.04	$16.72	$44.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $25.28 / $51.70 / $114.38	Facility		$25.28	$51.70	$114.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $24.08 / $37.00	Professional		$11.89	$24.08	$37.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $44.33 / $70.43	Facility		$17.03	$44.33	$70.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $27.67 / $34.59	Professional		$16.70	$27.67	$34.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $23.23 / $25.55	Professional		$17.14	$23.23	$25.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.08 / $24.08 / $53.16	Facility		$24.08	$24.08	$53.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.67 / $24.08 / $55.71	Facility		$21.67	$24.08	$55.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $27.88 / $34.19	Professional		$21.67	$27.88	$34.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.69 / $39.72 / $66.22	Facility		$27.69	$39.72	$66.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $24.08 / $64.67	Professional		$18.05	$24.08	$64.67
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.11 / $24.08	Professional		$10.11	$10.11	$24.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $12.47 / $12.47	Professional		$12.47	$12.47	$12.47