Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.32 / $160.00 / $327.94	Facility		$49.32	$160.00	$327.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.35 / $45.76 / $48.32	Professional		$39.35	$45.76	$48.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $30.52 / $35.32	Professional		$30.52	$30.52	$35.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $53.40 / $99.18 / $242.94	Facility		$53.40	$99.18	$242.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $46.28 / $103.93	Professional		$25.11	$46.28	$103.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.21 / $81.99 / $148.77	Facility		$35.21	$81.99	$148.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $66.98 / $101.78	Professional		$35.29	$66.98	$101.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.21 / $49.06 / $53.96	Professional		$36.21	$49.06	$53.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.86 / $53.40 / $112.27	Facility		$50.86	$53.40	$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 $45.77 / $45.77 / $45.77	Professional		$45.77	$45.77	$45.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $83.92 / $139.87	Facility		$58.49	$83.92	$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 $21.36 / $22.89 / $61.03	Professional		$21.36	$22.89	$61.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.89 / $22.89 / $26.35	Professional		$22.89	$22.89	$26.35