Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.73 / $377.76 / $549.47	Facility		$78.73	$377.76	$549.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $78.73 / $78.73	Professional		$7.89	$78.73	$78.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $87.95 / $137.44 / $397.86	Facility		$87.95	$137.44	$397.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $75.38 / $163.54	Professional		$45.77	$75.38	$163.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $171.49 / $216.26	Facility		$87.10	$171.49	$216.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.23 / $96.23 / $120.29	Professional		$96.23	$96.23	$120.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.38 / $92.14 / $146.58	Facility		$75.38	$92.14	$146.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.76 / $125.64 / $230.34	Facility		$83.76	$125.64	$230.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $87.95 / $118.94	Professional		$71.20	$87.95	$118.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $87.95 / $137.44 / $230.34	Facility		$87.95	$137.44	$230.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $62.82 / $83.76 / $226.35	Professional		$62.82	$83.76	$226.35
United Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $35.18 / $83.76	Professional		$35.18	$35.18	$83.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.69 / $37.69 / $43.39	Professional		$37.69	$37.69	$43.39