Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.14 / $124.66 / $224.29	Facility		$32.14	$124.66	$224.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.14 / $17.53 / $32.14	Professional		$13.14	$17.53	$32.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.91 / $21.91 / $21.91	Professional		$21.91	$21.91	$21.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $66.33 / $162.40	Facility		$35.90	$66.33	$162.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $30.77 / $54.00	Professional		$6.39	$30.77	$54.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.44 / $55.11 / $86.25	Facility		$10.44	$55.11	$86.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $39.24 / $49.04	Professional		$39.24	$39.24	$49.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.77 / $37.61 / $59.83	Facility		$30.77	$37.61	$59.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.19 / $51.29 / $94.02	Facility		$34.19	$51.29	$94.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $35.90 / $48.55	Professional		$29.80	$35.90	$48.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $56.11 / $94.02	Facility		$35.90	$56.11	$94.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $34.19 / $92.51	Professional		$25.64	$34.19	$92.51
United Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $34.19 / $34.19	Facility		$22.22	$34.19	$34.19
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $14.36 / $40.67	Professional		$14.36	$14.36	$40.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $15.39 / $17.71	Professional		$15.39	$15.39	$17.71