Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.06 / $100.29 / $194.67	Facility		$35.06	$100.29	$194.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $32.03 / $57.76	Professional		$27.34	$32.03	$57.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $24.54 / $24.54	Professional		$24.54	$24.54	$24.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $37.10 / $70.66 / $214.00	Facility		$37.10	$70.66	$214.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $32.15 / $57.75	Professional		$17.45	$32.15	$57.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.45 / $56.94 / $103.32	Facility		$24.45	$56.94	$103.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $46.44 / $70.61	Professional		$24.62	$46.44	$70.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $34.08 / $37.48	Professional		$25.15	$34.08	$37.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $38.86 / $77.98	Facility		$35.33	$38.86	$77.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $53.00 / $97.16	Facility		$35.33	$53.00	$97.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $31.80 / $31.80	Professional		$31.80	$31.80	$31.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.63 / $58.29 / $97.16	Facility		$40.63	$58.29	$97.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $35.33 / $95.21	Professional		$26.50	$35.33	$95.21
United Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $15.90 / $39.57	Professional		$14.84	$15.90	$39.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $15.90 / $18.30	Professional		$15.90	$15.90	$18.30