Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $233.68 / $420.58	Facility		$61.66	$233.68	$420.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $57.39 / $72.50	Professional		$40.39	$57.39	$72.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $37.28 / $53.62	Professional		$31.07	$37.28	$53.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $65.25 / $99.42 / $295.17	Facility		$65.25	$99.42	$295.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $62.14 / $122.80	Professional		$31.92	$62.14	$122.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.38 / $116.58 / $181.76	Facility		$39.38	$116.58	$181.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.89 / $71.45 / $110.17	Professional		$32.89	$71.45	$110.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.96 / $60.83 / $147.19	Professional		$47.96	$60.83	$147.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $62.14 / $137.16	Facility		$62.14	$62.14	$137.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $93.21 / $170.89	Facility		$62.14	$93.21	$170.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $67.84 / $88.24	Professional		$55.93	$67.84	$88.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $71.45 / $101.97 / $170.89	Facility		$71.45	$101.97	$170.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.61 / $62.14 / $167.96	Professional		$46.61	$62.14	$167.96
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $27.93 / $62.14	Professional		$26.10	$27.93	$62.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $27.96 / $37.50	Professional		$27.96	$27.96	$37.50