Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $138.72 / $348.46	Facility		$64.41	$138.72	$348.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $57.28 / $64.41	Professional		$34.14	$57.28	$64.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $38.65 / $44.73	Professional		$38.65	$38.65	$44.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $67.63 / $116.81 / $307.83	Facility		$67.63	$116.81	$307.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $57.97 / $111.15	Professional		$31.81	$57.97	$111.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.59 / $116.82 / $188.42	Facility		$44.59	$116.82	$188.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $84.85 / $128.56	Professional		$44.76	$84.85	$128.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $62.14 / $68.35	Professional		$45.85	$62.14	$68.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $64.41 / $135.26	Facility		$64.41	$64.41	$135.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $96.62 / $177.13	Facility		$64.41	$96.62	$177.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $57.97 / $57.97	Professional		$57.97	$57.97	$57.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $74.06 / $106.28 / $177.13	Facility		$74.06	$106.28	$177.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $64.41 / $173.35	Professional		$48.31	$64.41	$173.35
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $27.05 / $64.41	Professional		$27.05	$27.05	$64.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $28.98 / $33.36	Professional		$28.98	$28.98	$33.36