Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.04 / $95.81 / $176.72	Facility		$32.04	$95.81	$176.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $27.75 / $30.36	Professional		$24.99	$27.75	$30.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Professional		$19.38	$19.38	$19.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $65.94 / $275.00	Facility		$33.92	$65.94	$275.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $29.39 / $55.75	Professional		$15.95	$29.39	$55.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.35 / $58.58 / $94.50	Facility		$22.35	$58.58	$94.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.38 / $41.77 / $64.28	Professional		$22.38	$41.77	$64.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $31.16 / $34.27	Professional		$23.00	$31.16	$34.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $33.92 / $71.30	Facility		$32.29	$33.92	$71.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $48.45 / $88.82	Facility		$32.29	$48.45	$88.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $29.07 / $29.07	Professional		$29.07	$29.07	$29.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $53.30 / $88.83	Facility		$37.15	$53.30	$88.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $32.29 / $87.13	Professional		$24.23	$32.29	$87.13
United Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $13.57 / $33.60	Professional		$13.57	$13.57	$33.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $14.54 / $16.73	Professional		$14.54	$14.54	$16.73