Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.81 / $81.03 / $275.14	Facility		$47.81	$81.03	$275.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.42 / $40.69 / $50.86	Professional		$25.42	$40.69	$50.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $30.52 / $30.52	Professional		$30.52	$30.52	$30.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $53.40 / $83.46 / $241.59	Facility		$53.40	$83.46	$241.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $39.14 / $82.16	Professional		$20.34	$39.14	$82.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.36 / $74.72 / $131.33	Facility		$9.36	$74.72	$131.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.83 / $58.23 / $72.79	Professional		$26.83	$58.23	$72.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $50.86 / $50.86	Professional		$50.86	$50.86	$50.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.86 / $51.88 / $112.27	Facility		$50.86	$51.88	$112.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.86 / $76.29 / $139.87	Facility		$50.86	$76.29	$139.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $53.40 / $72.22	Professional		$39.29	$53.40	$72.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $83.46 / $139.87	Facility		$58.49	$83.46	$139.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $50.86 / $137.41	Professional		$38.15	$50.86	$137.41
United Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $21.36 / $50.86	Professional		$17.02	$21.36	$50.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.89 / $22.89 / $26.35	Professional		$22.89	$22.89	$26.35