Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.60 / $70.48 / $243.82	Facility		$41.60	$70.48	$243.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $31.75 / $45.26	Professional		$22.12	$31.75	$45.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $26.55 / $27.66	Professional		$26.55	$26.55	$27.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $46.46 / $70.80 / $210.19	Facility		$46.46	$70.80	$210.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $33.19 / $69.00	Professional		$17.70	$33.19	$69.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.02 / $90.59 / $115.04	Facility		$46.02	$90.59	$115.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.37 / $45.59 / $63.50	Professional		$23.37	$45.59	$63.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.25 / $44.25 / $97.68	Facility		$44.25	$44.25	$97.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.25 / $61.95 / $121.69	Facility		$44.25	$61.95	$121.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $46.46 / $62.83	Professional		$25.47	$46.46	$62.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46.46 / $72.61 / $121.69	Facility		$46.46	$72.61	$121.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $44.25 / $119.46	Professional		$22.47	$44.25	$119.46
United Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $18.59 / $44.25	Professional		$7.48	$18.59	$44.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.91 / $19.91 / $22.92	Professional		$19.91	$19.91	$22.92