Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.55 / $137.84 / $354.90	Facility		$60.55	$137.84	$354.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $59.28 / $64.41	Professional		$34.14	$59.28	$64.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.73 / $44.73 / $44.73	Professional		$44.73	$44.73	$44.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $67.63 / $128.82 / $307.83	Facility		$67.63	$128.82	$307.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $57.97 / $111.15	Professional		$31.81	$57.97	$111.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.59 / $131.88 / $188.42	Facility		$44.59	$131.88	$188.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $83.18 / $128.56	Professional		$44.76	$83.18	$128.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $62.14 / $68.35	Professional		$45.85	$62.14	$68.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $64.41 / $142.19	Facility		$64.41	$64.41	$142.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $96.62 / $177.13	Facility		$64.41	$96.62	$177.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $57.97 / $57.97	Professional		$57.97	$57.97	$57.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $74.06 / $106.28 / $177.13	Facility		$74.06	$106.28	$177.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $64.41 / $173.35	Professional		$48.31	$64.41	$173.35
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $27.05 / $64.41	Professional		$27.05	$27.05	$64.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $28.98 / $33.36	Professional		$28.98	$28.98	$33.36