Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.08 / $95.59 / $330.60	Facility		$36.08	$95.59	$330.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $56.40 / $88.80	Professional		$20.03	$56.40	$88.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $96.00 / $285.00	Facility		$60.00	$96.00	$285.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $45.00 / $97.42	Professional		$19.30	$45.00	$97.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $88.14 / $154.93	Facility		$11.59	$88.14	$154.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $61.60 / $86.21	Professional		$21.68	$61.60	$86.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.72 / $57.88 / $63.66	Professional		$42.72	$57.88	$63.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $132.44	Facility		$60.00	$60.00	$132.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $90.00 / $165.00	Facility		$54.00	$90.00	$165.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Professional		$54.00	$54.00	$54.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $98.46 / $165.00	Facility		$63.00	$98.46	$165.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $60.00 / $161.68	Professional		$21.35	$60.00	$161.68
United Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $25.20 / $60.00	Professional		$9.83	$25.20	$60.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $31.08	Professional		$27.00	$27.00	$31.08