Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $86.55 / $251.75	Facility		$18.14	$86.55	$251.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $19.30 / $28.96	Professional		$10.22	$19.30	$28.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $12.78 / $12.78	Professional		$12.78	$12.78	$12.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20.28 / $38.61 / $95.74	Facility		$20.28	$38.61	$95.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $18.14 / $36.69	Professional		$9.08	$18.14	$36.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $39.53 / $56.48	Facility		$12.90	$39.53	$56.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $10.16 / $69.84	Professional		$10.16	$10.16	$69.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $18.90 / $20.49	Professional		$13.75	$18.90	$20.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $19.30 / $28.97	Facility		$19.30	$19.30	$28.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $28.96 / $53.10	Facility		$19.30	$28.96	$53.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $31.69 / $53.10	Facility		$22.21	$31.69	$53.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $19.30 / $52.10	Professional		$14.48	$19.30	$52.10
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $8.11 / $21.63	Professional		$8.11	$8.11	$21.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00