Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.63 / $769.41 / $1,948.47	Facility		$51.63	$769.41	$1,948.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.18 / $23.94 / $50.13	Professional		$4.18	$23.94	$50.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $46.86 / $46.86	Professional		$26.50	$46.86	$46.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $105.55 / $669.10 / $1,345.74	Facility		$105.55	$669.10	$1,345.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $40.93 / $110.69	Professional		$14.85	$40.93	$110.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $14.75 / $122.25	Facility		$1.82	$14.75	$122.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.11 / $38.96 / $58.06	Professional		$23.11	$38.96	$58.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $45.00 / $50.00	Professional		$40.00	$45.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.70 / $62.10 / $246.44	Facility		$51.70	$62.10	$246.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $40.93 / $40.93	Professional		$40.93	$40.93	$40.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $614.77 / $1,018.06 / $1,937.14	Facility		$614.77	$1,018.06	$1,937.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.53 / $58.21 / $112.28	Professional		$27.53	$58.21	$112.28
United Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $18.95 / $47.44	Professional		$12.79	$18.95	$47.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $11.19 / $21.55	Professional		$11.19	$11.19	$21.55