Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.97 / $56.21 / $99.46	Facility		$16.97	$56.21	$99.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $18.05 / $27.51	Professional		$9.02	$18.05	$27.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $11.28 / $11.28	Professional		$11.28	$11.28	$11.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $35.02 / $85.74	Facility		$18.95	$35.02	$85.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $16.25 / $34.29	Professional		$7.86	$16.25	$34.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.39 / $41.42 / $70.04	Facility		$26.39	$41.42	$70.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $9.49 / $23.44	Professional		$9.49	$9.49	$23.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $17.66 / $19.15	Professional		$12.84	$17.66	$19.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $18.05 / $27.08	Facility		$18.05	$18.05	$27.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $18.05 / $18.05	Facility		$16.25	$18.05	$18.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $16.25 / $16.25	Professional		$16.25	$16.25	$16.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.76 / $29.62 / $49.64	Facility		$20.76	$29.62	$49.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $18.05 / $48.50	Professional		$13.54	$18.05	$48.50
United Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $7.97 / $18.05	Professional		$7.58	$7.97	$18.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $9.35	Professional		$9.35	$9.35	$9.35