Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.58 / $178.33 / $371.15	Facility		$64.58	$178.33	$371.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $61.07 / $88.62	Professional		$58.70	$61.07	$88.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $46.78 / $124.62	Professional		$40.42	$46.78	$124.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $70.73 / $134.72 / $321.95	Facility		$70.73	$134.72	$321.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $61.00 / $127.98	Professional		$33.26	$61.00	$127.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.62 / $119.42 / $197.01	Facility		$46.62	$119.42	$197.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.83 / $87.04 / $134.40	Professional		$46.83	$87.04	$134.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.96 / $64.98 / $71.47	Professional		$47.96	$64.98	$71.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.36 / $74.09 / $148.69	Facility		$67.36	$74.09	$148.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.36 / $101.04 / $185.24	Facility		$67.36	$101.04	$185.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.62 / $60.62 / $60.62	Professional		$60.62	$60.62	$60.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.45 / $111.14 / $185.24	Facility		$77.45	$111.14	$185.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.52 / $67.36 / $181.44	Professional		$50.52	$67.36	$181.44
United Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $28.29 / $67.36	Professional		$28.29	$28.29	$67.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $30.31 / $34.89	Professional		$30.31	$30.31	$34.89