Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.01 / $87.53 / $244.73	Facility		$45.01	$87.53	$244.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $33.95 / $42.25	Professional		$24.52	$33.95	$42.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $22.64 / $26.20	Professional		$22.64	$22.64	$26.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $75.45 / $180.45	Facility		$39.61	$75.45	$180.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $34.33 / $65.09	Professional		$18.63	$34.33	$65.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.12 / $77.23 / $110.34	Facility		$26.12	$77.23	$110.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $48.79 / $75.48	Professional		$26.17	$48.79	$75.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $36.40 / $40.04	Professional		$26.86	$36.40	$40.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $39.61 / $83.29	Facility		$37.72	$39.61	$83.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $56.60 / $103.76	Facility		$37.72	$56.60	$103.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $33.96 / $33.96	Professional		$33.96	$33.96	$33.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.39 / $62.25 / $103.76	Facility		$43.39	$62.25	$103.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $37.72 / $101.50	Professional		$28.30	$37.72	$101.50
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $16.98 / $37.72	Professional		$15.85	$16.98	$37.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $19.54	Professional		$16.98	$16.98	$19.54