Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.66 / $72.66 / $72.66	Facility		$72.66	$72.66	$72.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $72.66 / $113.94	Professional		$63.95	$72.66	$113.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.83 / $90.83 / $90.83	Professional		$90.83	$90.83	$90.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $637.21 / $637.21	Facility		$100.00	$637.21	$637.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $101.15 / $160.91	Professional		$17.62	$101.15	$160.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $98.98 / $153.75	Professional		$10.52	$98.98	$153.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $75.00 / $180.66	Professional		$14.77	$75.00	$180.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.60 / $219.01 / $241.20	Facility		$144.60	$219.01	$241.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $237.82 / $241.20	Professional		$198.00	$237.82	$241.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $12.75 / $12.75	Facility		$12.75	$12.75	$12.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $102.60 / $256.97	Professional		$10.26	$102.60	$256.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $14.47 / $17.62	Professional		$14.47	$14.47	$17.62
United Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $72.13 / $84.09	Professional		$50.45	$72.13	$84.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $113.45 / $113.45 / $113.45	Professional		$113.45	$113.45	$113.45