Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.30 / $81.96 / $127.26	Professional		$65.30	$81.96	$127.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.50 / $211.50 / $211.50	Professional		$211.50	$211.50	$211.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $189.29 / $206.60	Facility		$14.38	$189.29	$206.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $104.45 / $218.13	Professional		$20.87	$104.45	$218.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.70 / $88.70 / $98.28	Facility		$88.70	$88.70	$98.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.40 / $75.40 / $157.50	Professional		$75.40	$75.40	$157.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.05 / $23.05 / $214.10	Professional		$23.05	$23.05	$214.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $14.38 / $14.38	Facility		$14.38	$14.38	$14.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $112.29 / $289.70	Professional		$11.23	$112.29	$289.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $17.14 / $20.87	Professional		$17.14	$17.14	$20.87
United Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $11.54 / $115.44	Professional		$7.12	$11.54	$115.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $161.59 / $161.59 / $161.59	Professional		$161.59	$161.59	$161.59