Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.41 / $257.04 / $542.96	Facility		$51.41	$257.04	$542.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $24.84 / $79.93	Professional		$6.94	$24.84	$79.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $69.19 / $87.10	Professional		$15.50	$69.19	$87.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $50.83 / $82.42 / $183.18	Facility		$50.83	$82.42	$183.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $39.61 / $67.26	Professional		$17.36	$39.61	$67.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.32 / $69.81 / $102.78	Facility		$24.32	$69.81	$102.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $47.08 / $63.02	Professional		$24.02	$47.08	$63.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $34.39 / $67.80	Professional		$27.12	$34.39	$67.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.35 / $79.94 / $81.06	Facility		$55.35	$79.94	$81.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.69 / $76.23 / $113.33	Facility		$57.69	$76.23	$113.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $39.61 / $39.61	Professional		$39.61	$39.61	$39.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $50.83 / $60.42 / $114.80	Facility		$50.83	$60.42	$114.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $54.98 / $108.68	Professional		$35.43	$54.98	$108.68
United Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $19.86 / $47.28	Professional		$17.07	$19.86	$47.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $17.36 / $20.87	Professional		$17.36	$17.36	$20.87