Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.86 / $124.38 / $274.00	Facility		$48.86	$124.38	$274.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $42.60 / $70.45	Professional		$36.36	$42.60	$70.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $28.19 / $32.63	Professional		$28.19	$28.19	$32.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $49.33 / $93.96 / $224.07	Facility		$49.33	$93.96	$224.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $42.28 / $81.09	Professional		$23.20	$42.28	$81.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $95.94 / $137.43	Facility		$32.53	$95.94	$137.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.71 / $60.71 / $93.98	Professional		$32.71	$60.71	$93.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $45.32 / $49.85	Professional		$33.44	$45.32	$49.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.98 / $51.68 / $103.71	Facility		$46.98	$51.68	$103.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.98 / $70.47 / $129.19	Facility		$46.98	$70.47	$129.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Professional		$42.28	$42.28	$42.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.03 / $77.52 / $129.19	Facility		$54.03	$77.52	$129.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.24 / $46.98 / $126.65	Professional		$35.24	$46.98	$126.65
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $19.73 / $46.98	Professional		$19.73	$19.73	$46.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $21.14 / $24.34	Professional		$21.14	$21.14	$24.34