Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $135.81 / $255.39	Facility		$60.26	$135.81	$255.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $36.15 / $48.67	Professional		$15.58	$36.15	$48.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $28.97 / $28.97	Professional		$25.03	$28.97	$28.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $46.35 / $81.20 / $220.16	Facility		$46.35	$81.20	$220.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $34.76 / $72.00	Professional		$14.46	$34.76	$72.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.88 / $68.09 / $119.69	Facility		$9.88	$68.09	$119.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $24.37 / $60.47	Professional		$24.37	$24.37	$60.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.35 / $46.35 / $69.53	Facility		$46.35	$46.35	$69.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.72 / $46.35 / $46.35	Facility		$41.72	$46.35	$46.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $48.67 / $65.81	Professional		$16.52	$48.67	$65.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48.67 / $76.06 / $127.46	Facility		$48.67	$76.06	$127.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $46.35 / $124.85	Professional		$19.44	$46.35	$124.85
United Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $30.13 / $44.03	Facility		$10.76	$30.13	$44.03
United Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $19.47 / $46.35	Professional		$8.16	$19.47	$46.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.01 / $24.01 / $24.01	Professional		$24.01	$24.01	$24.01