Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.84 / $115.01 / $390.55	Facility		$67.84	$115.01	$390.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.54 / $52.57 / $67.86	Professional		$49.54	$52.57	$67.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.31 / $43.31 / $45.12	Professional		$43.31	$43.31	$45.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $75.80 / $129.94 / $342.90	Facility		$75.80	$129.94	$342.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $64.97 / $117.24	Professional		$28.88	$64.97	$117.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.17 / $116.36 / $182.12	Facility		$39.17	$116.36	$182.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $83.01 / $103.77	Professional		$36.40	$83.01	$103.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $72.19 / $72.19 / $108.29	Facility		$72.19	$72.19	$108.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.19 / $108.29 / $198.52	Facility		$72.19	$108.29	$198.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $75.80 / $102.51	Professional		$61.36	$75.80	$102.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $83.02 / $118.46 / $198.52	Facility		$83.02	$118.46	$198.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $72.19 / $194.91	Professional		$54.14	$72.19	$194.91
United Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $30.32 / $80.84	Professional		$30.32	$30.32	$80.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.49 / $32.49 / $37.39	Professional		$32.49	$32.49	$37.39