Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $67.12 / $232.14	Facility		$42.13	$67.12	$232.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $43.82 / $84.26	Professional		$40.28	$43.82	$84.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $25.28 / $26.33	Professional		$25.28	$25.28	$26.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $69.14 / $200.12	Facility		$42.13	$69.14	$200.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $42.13 / $59.82	Professional		$16.85	$42.13	$59.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $67.90 / $106.28	Facility		$28.65	$67.90	$106.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.48 / $48.40 / $60.50	Professional		$23.48	$48.40	$60.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $46.34 / $63.20	Facility		$42.13	$46.34	$63.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $63.20 / $115.86	Facility		$42.13	$63.20	$115.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $50.56 / $59.82	Professional		$35.81	$50.56	$59.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.24 / $67.41 / $113.75	Facility		$44.24	$67.41	$113.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $42.13 / $114.07	Professional		$31.60	$42.13	$114.07
United Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $17.69 / $47.19	Professional		$17.69	$17.69	$47.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $21.82 / $21.82	Professional		$21.82	$21.82	$21.82