Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.68 / $87.94 / $170.70	Facility		$43.68	$87.94	$170.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $27.61 / $49.35	Professional		$23.97	$27.61	$49.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $21.52	Professional		$18.59	$18.59	$21.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $63.24 / $217.00	Facility		$32.53	$63.24	$217.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $29.12 / $53.45	Professional		$15.30	$29.12	$53.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.44 / $49.95 / $90.63	Facility		$21.44	$49.95	$90.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $40.64 / $61.84	Professional		$21.52	$40.64	$61.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $29.89 / $32.87	Professional		$22.05	$29.89	$32.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $32.53 / $68.39	Facility		$30.98	$32.53	$68.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $46.47 / $85.20	Facility		$30.98	$46.47	$85.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $27.88 / $27.88	Professional		$27.88	$27.88	$27.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35.63 / $51.12 / $85.20	Facility		$35.63	$51.12	$85.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $30.98 / $83.53	Professional		$23.24	$30.98	$83.53
United Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $13.94 / $34.70	Professional		$13.01	$13.94	$34.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $13.94 / $16.05	Professional		$13.94	$13.94	$16.05