Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.86 / $160.19 / $404.99	Facility		$74.86	$160.19	$404.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $54.11 / $77.22	Professional		$39.67	$54.11	$77.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $44.92 / $51.99	Professional		$44.92	$44.92	$51.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $78.59 / $125.97 / $355.59	Facility		$78.59	$125.97	$355.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $74.86 / $121.77	Professional		$36.97	$74.86	$121.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.68 / $135.76 / $218.97	Facility		$50.68	$135.76	$218.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $85.90 / $141.43	Professional		$46.77	$85.90	$141.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.63 / $66.63 / $72.22	Professional		$66.63	$66.63	$72.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $74.86 / $78.59 / $165.25	Facility		$74.86	$78.59	$165.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.86 / $112.29 / $205.87	Facility		$74.86	$112.29	$205.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.37 / $86.67 / $106.30	Professional		$67.37	$86.67	$106.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $86.09 / $123.52 / $205.87	Facility		$86.09	$123.52	$205.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.15 / $74.86 / $202.09	Professional		$56.15	$74.86	$202.09
United Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $31.44 / $74.86	Professional		$31.44	$31.44	$74.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.69 / $33.69 / $38.78	Professional		$33.69	$33.69	$38.78