Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $62.97 / $132.68	Facility		$22.64	$62.97	$132.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $21.84 / $24.08	Professional		$12.75	$21.84	$24.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.72 / $16.72	Professional		$14.45	$16.72	$16.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $25.28 / $48.16 / $114.38	Facility		$25.28	$48.16	$114.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $24.08 / $49.19	Professional		$11.89	$24.08	$49.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.19 / $43.66 / $70.43	Facility		$22.19	$43.66	$70.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $12.66 / $31.41	Professional		$12.66	$12.66	$31.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.08 / $24.08 / $36.11	Facility		$24.08	$24.08	$36.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.67 / $24.08 / $24.08	Facility		$21.67	$24.08	$24.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $28.08 / $34.19	Professional		$21.67	$28.08	$34.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.28 / $39.52 / $66.22	Facility		$25.28	$39.52	$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 / $26.97	Professional		$10.11	$10.11	$26.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $12.47 / $12.47	Professional		$12.47	$12.47	$12.47