Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.99 / $139.26 / $271.75	Facility		$37.99	$139.26	$271.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.85 / $33.57 / $46.04	Professional		$31.85	$33.57	$46.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $23.10 / $23.10	Professional		$23.10	$23.10	$23.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $40.43 / $77.00 / $183.99	Facility		$40.43	$77.00	$183.99
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $36.53 / $73.15	Professional		$19.01	$36.53	$73.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.63 / $78.84 / $112.64	Facility		$26.63	$78.84	$112.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $50.91 / $76.94	Professional		$26.86	$50.91	$76.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.41 / $37.14 / $40.85	Professional		$27.41	$37.14	$40.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $40.43 / $84.99	Facility		$38.50	$40.43	$84.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $57.75 / $105.88	Facility		$38.50	$57.75	$105.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $34.65 / $34.65	Professional		$34.65	$34.65	$34.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.28 / $63.53 / $105.88	Facility		$44.28	$63.53	$105.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $38.50 / $104.19	Professional		$28.88	$38.50	$104.19
United Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $16.17 / $43.12	Professional		$16.17	$16.17	$43.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $19.94	Professional		$17.32	$17.32	$19.94