Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.84 / $174.29 / $334.40	Facility		$58.84	$174.29	$334.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.82 / $54.02 / $74.38	Professional		$50.82	$54.02	$74.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $43.04 / $114.66	Professional		$30.99	$43.04	$114.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $65.08 / $120.24 / $296.01	Facility		$65.08	$120.24	$296.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.61 / $58.26 / $100.81	Professional		$30.61	$58.26	$100.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.89 / $99.92 / $181.31	Facility		$42.89	$99.92	$181.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.04 / $81.72 / $123.69	Professional		$43.04	$81.72	$123.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.12 / $59.79 / $65.76	Professional		$44.12	$59.79	$65.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $65.08 / $177.33	Facility		$61.98	$65.08	$177.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $92.97 / $170.45	Facility		$61.98	$92.97	$170.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.78 / $55.78 / $55.78	Professional		$55.78	$55.78	$55.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $71.28 / $102.27 / $170.45	Facility		$71.28	$102.27	$170.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.49 / $61.98 / $167.07	Professional		$46.49	$61.98	$167.07
United Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $27.89 / $69.42	Professional		$26.03	$27.89	$69.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $27.89 / $32.11	Professional		$27.89	$27.89	$32.11