Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.77 / $434.61 / $881.29	Facility		$258.77	$434.61	$881.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $101.78 / $147.19	Professional		$85.59	$101.78	$147.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.95 / $93.95 / $93.95	Professional		$93.95	$93.95	$93.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $164.42 / $256.95 / $743.80	Facility		$164.42	$256.95	$743.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $118.74 / $230.08	Professional		$45.77	$118.74	$230.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.21 / $111.52 / $407.12	Facility		$57.21	$111.52	$407.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.33 / $82.33 / $204.38	Professional		$82.33	$82.33	$204.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.47 / $110.39 / $121.42	Professional		$81.47	$110.39	$121.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $156.59 / $156.59 / $234.89	Facility		$156.59	$156.59	$234.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.59 / $234.89 / $430.62	Facility		$156.59	$234.89	$430.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.54 / $164.42 / $222.36	Professional		$104.54	$164.42	$222.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $164.42 / $256.95 / $430.62	Facility		$164.42	$256.95	$430.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.44 / $156.59 / $422.15	Professional		$117.44	$156.59	$422.15
United Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $65.77 / $156.59	Professional		$51.66	$65.77	$156.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.11 / $81.11 / $81.11	Professional		$81.11	$81.11	$81.11