Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.90 / $79.42 / $222.65	Facility		$31.90	$79.42	$222.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.27 / $30.25 / $39.03	Professional		$26.27	$30.25	$39.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $23.57 / $23.57	Professional		$23.57	$23.57	$23.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $35.64 / $64.25 / $175.00	Facility		$35.64	$64.25	$175.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $30.89 / $60.00	Professional		$16.76	$30.89	$60.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.49 / $54.71 / $99.27	Facility		$23.49	$54.71	$99.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $44.66 / $67.69	Professional		$23.59	$44.66	$67.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.16 / $32.74 / $36.01	Professional		$24.16	$32.74	$36.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.94 / $37.33 / $74.92	Facility		$33.94	$37.33	$74.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.94 / $50.91 / $93.34	Facility		$33.94	$50.91	$93.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $30.55 / $30.55	Professional		$30.55	$30.55	$30.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $39.03 / $56.00 / $93.34	Facility		$39.03	$56.00	$93.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $33.94 / $91.62	Professional		$25.46	$33.94	$91.62
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $17.02 / $33.94	Professional		$14.25	$17.02	$33.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $15.27 / $17.57	Professional		$15.27	$15.27	$17.57