Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.15 / $126.56 / $258.64	Facility		$62.15	$126.56	$258.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $37.77 / $52.57	Professional		$34.31	$37.77	$52.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $28.69	Professional		$28.69	$28.69	$28.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $50.20 / $83.67 / $227.10	Facility		$50.20	$83.67	$227.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $43.03 / $90.84	Professional		$23.61	$43.03	$90.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.47 / $86.69 / $139.86	Facility		$26.47	$86.69	$139.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.13 / $54.93 / $90.32	Professional		$30.13	$54.93	$90.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $46.12 / $77.94	Professional		$34.04	$46.12	$77.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.81 / $52.50 / $105.54	Facility		$47.81	$52.50	$105.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.81 / $71.72 / $131.47	Facility		$47.81	$71.72	$131.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.03 / $43.03 / $43.03	Professional		$43.03	$43.03	$43.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.98 / $78.89 / $131.47	Facility		$54.98	$78.89	$131.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $47.81 / $129.34	Professional		$35.86	$47.81	$129.34
United Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $20.13 / $52.00	Professional		$20.07	$20.13	$52.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $21.51 / $24.77	Professional		$21.51	$21.51	$24.77