Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.29 / $94.50 / $275.75	Facility		$36.29	$94.50	$275.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $33.67 / $53.03	Professional		$29.89	$33.67	$53.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $23.17 / $26.82	Professional		$23.17	$23.17	$26.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $75.31 / $183.99	Facility		$40.54	$75.31	$183.99
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $35.14 / $66.65	Professional		$19.07	$35.14	$66.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.76 / $79.06 / $112.95	Facility		$26.76	$79.06	$112.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $49.84 / $76.94	Professional		$26.86	$49.84	$76.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $37.26 / $40.98	Professional		$27.49	$37.26	$40.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.61 / $42.00 / $85.25	Facility		$38.61	$42.00	$85.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.61 / $57.93 / $106.21	Facility		$38.61	$57.93	$106.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $34.76 / $34.76	Professional		$34.76	$34.76	$34.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.41 / $63.72 / $106.21	Facility		$44.41	$63.72	$106.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $38.61 / $104.19	Professional		$28.97	$38.61	$104.19
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.14 / $38.61	Professional		$16.22	$19.14	$38.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $20.01	Professional		$17.38	$17.38	$20.01