Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $170.00	Professional		$125.00	$125.00	$170.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $260.00 / $260.00	Facility		$95.00	$260.00	$260.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $143.44 / $175.09	Professional		$95.00	$143.44	$175.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $125.00	Facility		$90.00	$90.00	$125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $118.65 / $148.31	Professional		$90.00	$118.65	$148.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $65.00 / $72.00	Professional		$45.00	$65.00	$72.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.40 / $117.86 / $125.29	Facility		$77.40	$117.86	$125.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $95.00 / $283.00	Facility		$95.00	$95.00	$283.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $95.00 / $95.00	Professional		$95.00	$95.00	$95.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $97.00 / $97.00	Facility		$97.00	$97.00	$97.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $143.44 / $318.64	Professional		$95.00	$143.44	$318.64
United Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $185.92	Professional		$85.00	$85.00	$185.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.56 / $106.56 / $106.56	Professional		$106.56	$106.56	$106.56