Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.96 / $166.77 / $414.90	Facility		$39.96	$166.77	$414.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $37.22 / $74.86	Professional		$31.94	$37.22	$74.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $28.66 / $76.37	Professional		$24.77	$28.66	$76.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $43.34 / $80.50 / $196.95	Facility		$43.34	$80.50	$196.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $37.56 / $71.20	Professional		$20.38	$37.56	$71.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.57 / $84.51 / $120.74	Facility		$28.57	$84.51	$120.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $53.34 / $82.30	Professional		$28.75	$53.34	$82.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.39 / $39.82 / $43.80	Professional		$29.39	$39.82	$43.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.28 / $43.34 / $91.13	Facility		$41.28	$43.34	$91.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.28 / $61.92 / $113.52	Facility		$41.28	$61.92	$113.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.47 / $68.11 / $113.52	Facility		$47.47	$68.11	$113.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $41.28 / $111.38	Professional		$30.96	$41.28	$111.38
United Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $17.34 / $41.28	Professional		$17.34	$17.34	$41.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $18.57 / $21.38	Professional		$18.57	$18.57	$21.38