Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.17 / $139.93 / $347.27	Facility		$48.17	$139.93	$347.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $60.34 / $74.03	Professional		$32.10	$60.34	$74.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Professional		$40.11	$40.11	$40.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $64.19 / $102.70 / $304.89	Facility		$64.19	$102.70	$304.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $49.43 / $99.00	Professional		$25.68	$49.43	$99.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.87 / $142.07 / $165.73	Facility		$93.87	$142.07	$165.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $73.51 / $91.89	Professional		$25.66	$73.51	$91.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $45.70 / $49.53	Professional		$45.70	$45.70	$49.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.19 / $67.40 / $141.69	Facility		$64.19	$67.40	$141.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.77 / $89.87 / $176.52	Facility		$57.77	$89.87	$176.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $67.40 / $91.15	Professional		$24.20	$67.40	$91.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $67.40 / $105.34 / $176.52	Facility		$67.40	$105.34	$176.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.14 / $64.19 / $173.35	Professional		$48.14	$64.19	$173.35
United Facility/Professional Professional Modifier Low / Median / High Price $22.68 / $26.96 / $64.19	Professional		$22.68	$26.96	$64.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $28.89 / $33.25	Professional		$28.89	$28.89	$33.25